Brand Ambassador Application

    Please fill out the application in its entirety. Currently, we are not accepting international applications for candidates living outside of the United States.

    First Name

    Last Name

    Address line 1

    Address line 2

    City

    State

    Zip Code

    E-mail Address

    Are you an Delta Box subscriber?

    What is your top size?

    What is your bottom size?

    What year did you become an Delta Box subscriber?

    If you are a former subscriber, please select how long you were subscribed for.

    Why do you want to become an Delta Box ambassador?


    words. Please limit to 450 words or less With Space.

    If you are a former subscriber, please explain the reason you ended your Delta Box subscription.


    words. Please limit to 300 words or less With Space.

    Did you attend an HBCU?

    If so, please list which HBCU you attended.

    Do you currently belong to a Chapter?

    Are you willing to become a Chapter ambassador?

    Please attach a high-resolution headshot of yourself.

    What is your current chapter?

    Do you follow any of our official social media pages?

    Do you belong to any Facebook groups?

    Please list all Facebook groups that you are a member of.

    If so, who?

    If so, who?

    Personal Blog URL

    Instagram URL

    Facebook URL

    Youtube URL

    TikTok URL

    SnapChat URL

    Other URL

    Please select all active social platforms.

    How many total followers do you have on all platforms?

    How many Instagram followers do you have?

    How many Facebook followers do you have?

    How many Youtube subscribers do you have?

    How many TikTok followers do you have?

    How many followers do you have on your personal blog?

    How many Twitter followers do you have?

    How many Snapchat followers do you have?

    How many Pinterest followers do you have?

    How many followers do you have on other social networks?