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Vita Ambassador Application
First name
*
Last name
*
Email
*
State
*
Total followers across all platforms
*
A
Under 1,000
B
1,000 to 2,000
C
2,000 to 10,000
D
10,000 to 100,000
E
100,000+
When could you start posting?
*
A
Ready now, as soon as Vita opens
B
Within the first month
C
Just exploring for now
Which platforms would you post on?
*
Instagram
TikTok
Facebook
Pinterest
YouTube
Other
Instagram handle
TikTok handle
Facebook profile or page
Pinterest handle
YouTube channel
Other account: X, Threads or blog
Are you a licensed healthcare professional?
*
A
No
B
Yes
How did you hear about Vita?
Why do you want to be a Vita Ambassador?
*
I confirm I'm 18 or older and live in the United States.
*
I confirm I'm 18 or older and live in the United States.
If approved, I'll clearly disclose my partnership with Vita in everything I post.
*
I agree to disclose my partnership.
Applying doesn't guarantee acceptance. Please don't share any personal health information in this form.
Submit my application