BeingGirl Social Media Ambassadorship Survey Question Title * 1. Contact Information Name: * Address 1: * Address 2: City/Town: * State/Province: * ZIP/Postal Code: * Country: * Parent Email Address: * Parent Phone Number: * Question Title * 2. How old are you? Question Title * 3. What grade are you entering for the 2014-2015 school year? Question Title * 4. What is your Facebook page url? Question Title * 5. How many Facebook Friends do you currently have? Question Title * 6. What is your Twitter profile URL? Question Title * 7. How many Twitter followers do you have? Question Title * 8. What is your Instagram url? Question Title * 9. How many Instagram followers do you currently have? Question Title * 10. What is your Pinterest URL? Question Title * 11. How may Pinterest followers do you have? Question Title * 12. For this campaign, you will be required to post and share personal content as well as content provided by Double Duty Divas/BeingGirl on Twitter and/or Facebook for the BeingGirl brand. Are you willing to complete all tasks stated above? Yes No Question Title * 13. Do you have parental/guardian permission to participate? Yes No Other (please specify) Question Title * 14. Please give us a brief bio including school and community accomplishments or leadership positions you hold. Done