Personal Details

Social Media Presence

Please select your social media platforms and provide your usernames as well as your follower count for each.

UsernameNumber of Followers


Please indicate which of the following activities you are comfortable performing:

About You

In your own words, tell us more about yourself and why you would make a great Brand Ambassador for Clinic International.
When you've filled in all the information, click "SEND". We look forward to learning more about you and will be in touch after processing your application.

Teilen Sie Ihre Kontaktdaten und verändern Sie Ihr Leben