Please notify your Team Leader upon submission.

1. Legal Name

First Name

Last Name

2. Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Years At Residence

3. Phone

Country

(###)

###

####

(###)

###

####

4. Email

5. Birthdate

YYYY

6. 17LIVE Username

7. Facebook URL

http://

Instagram URL

http://

Social Media Activity and Following

Example: Facebook: 3,000 Followers, 3 posts per day Instagram: 13,750 Followers, 3 posts per week Tiktok: 2,050 Followers, 1 post per week SoundCloud: 1,000 Followers, 200 plays per week

Additional Social Media Links

8. Are You Currently Streaming On Other Platforms? If Yes, Please List:

Platform Name - Username - Start Date - End Date - Other Agency Name - Hours Per Week

Streaming Content #1

Streaming Content #2

Streaming Content #3

What Is Your Purpose For Live Streaming?

Example 1: I want Live Streaming to be my main source of income. Example 2: I want to make a side income. Example 3: I want to make new friends and connections.

What Other Experiences Do You Have That Are Relevant To Live Streaming?

Example 1: Online selling Example 2: Online performance / hosting Example 3: Guesting on other live streams

Streaming Experience

Total Years

9. Current Employment and Hours Including Travel Time

Example: Job 1 - 50 Hours Per Week Job 2 - 15 Hours Every Other Week Job 3 - Side Hustle 3 times a month for 6 hours at a time Total Hours per week: 62 hours

10. High Resolution Photos

These photos will be used for promotional purposes, flyers, and / or videos 3 to 5 Unedited Photos - Half Body, Head shot and Whole Body - Picture of any Government ID Your Team Leader will create a Google Drive folder for you Paste link here:

http://

11. Audition Video Link

1. Upload video to youtube 2. Set to "unlisted" 3. Video title: [ audition video ] FIRST LAST - Username

http://

12. Team Leader

Recruited / Referred By

If different from Team Leader

I the Applicant Acknowledge ( check boxes ):

1. All information stated above is complete and truthful.

2. Discovery of any false or misleading information will result in a disqualification of this Application.

3. I have never been a verified streamer on 17LIVE and / or been signed under a different agency.

4. I am not under an exclusivity contract with any other social media platform and / or management company.

5. Monthly Minimum Streaming Commitment ( 20 - 25 days / 40 - 50 hours ).

6. I will give my very best effort for at least 3 consecutive months.

Today's Date

YYYY

Talent Application 17LIVE