* First Name

* Last Name

* Email address

* Phone Number

* College you are currently enrolled in?

* State

* Have you been a Brand rep before? If so, what brand(s)?

* What social media platform are you active on?

* Provide username(s) for above social media platforms checked

* How many Instagram followers you current have?

* Do you have Simply Southern Apparel/Merchandise?

* What makes you want to be a Simply Southern brand ambassador?

* captcha

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