Weedmaps Fire Starter

Program Application

If you have any questions, please contact nextgen_recruiting@teamwass.com

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Personal Information

First Name

Last Name

City

State

I identify my gender as:

MaleFemaleNon-binary TransgenderPrefer not to say Other (please specify)

My preferred pronoun is

No pronoun/NameThey/Them/TheirsCo/CosShe/Her/HersZe/HirHe/Him/HisXe/Xem/XyrHy/Hym/Hys

Are you of Hispanic or Latino descent?

YesNo

Which of the following best represents your racial or ethnic heritage?

Asian / IndianBlack or African AmericanNative American, American Indian or Indigenous AmericanPacific IslanderHispanic or LatinoWhiteOtherPrefer not to disclose

Contact Information

Phone

Education

Highest Level of Education

High School/GEDAssociateBachelor'sMaster'sDoctoral

University Attended

Graduation Year

Graduation Semester

FallSpringSummerWinter

Social Media

Link to Instagram profile

Number of Instagram followers

TikTok Username

Number of TikTok followers

Link to LinkedIn profile

Which of these most closely aligns with your content?

CareerCausesFashionFoodLifestyleMusicSportsTechnologyTravel

Research Opportunities

I would like to be notified of paid opportunities regarding Gen-Z Research including focus groups and surveys.

YesNo

I am interested in:

Focus GroupsSurveysselect all that apply

Other

How did you hear about our opportunities?

Name of the person who referred you, if applicable.*

Lead Source

R&B Status

Contact Information