VHA Affiliate Program

Venus Health Academy Affiliate Application Form

Section 1: Personal Details

Full Name *

Business/Brand Name, if applicable

Email Address *

Phone Number/WhatsApp *

Country/Location *

Website, if applicable

Social Media Handles:

Instagram

Facebook

TikTok

YouTube

Other Social Media Handle

Section 2: About You

Which best describes you? Please tick all that apply. *

If 'Other', please specify:

Please briefly tell us about your work, business, platform, or community: *

Why would you like to become a Venus Health Academy affiliate? *

Section 3: Audience & Promotion

Who is your main audience? Please tick all that apply. *

If 'Other', please specify:

Approximate audience size: *

Under 500 500–1,000 1,000–5,000 5,000–10,000 10,000–50,000 50,000+

How do you plan to promote Venus Health Academy? Please tick all that apply. *

If 'Other', please specify:

Please describe your promotional approach: *

Section 4: Affiliate Interests

Which Venus Health Academy offers are you most interested in promoting? *

Online courses Community membership Health videos and downloads Group coaching sessions One-to-one health consultations Interactive health events Monthly Q&A sessions Specific condition-focused programmes All of the above

Do you have a particular health area or topic you are most interested in promoting? Examples: cancer support, heart health, digestive health, brain health, skin health, weight management, fibroid health, prostate health, general wellness.

Section 5: Experience

Have you promoted affiliate products or services before? *

Yes No

If yes, please briefly describe your experience:

Do you currently work with clients, students, members, or an online community? *

Yes No

If yes, please briefly explain:

Section 6: Payment Details

Preferred payment method: *

Bank transfer PayPal Wise Other

If 'Other', please specify:

Payment name/account holder name *

Payment email or relevant payment details *

Full payment details may be requested separately once your application has been approved.

Section 7: Agreement

Please tick to confirm:

1 *

I understand that affiliate approval is not guaranteed and is subject to review by Venus Health Academy.

2 *

I agree to promote Venus Health Academy honestly, professionally, and ethically.

3 *

I agree not to make false, exaggerated, or misleading health claims when promoting Venus Health Academy products, services, courses, or programmes.

4 *

I understand that Venus Health Academy provides holistic health education and wellbeing support, and does not replace medical advice, diagnosis, or treatment.

5 *

I agree to follow any affiliate guidelines, branding instructions, and promotional terms provided by Venus Health Academy.

6 *

I understand that commission payments will only be made on eligible confirmed referrals according to the affiliate terms.

Section 8: Final Declaration

Applicant Name *

Signature, if completing manually

Date *

Submit Your Application

Please send your completed application form to:

Email: [Placeholder for email address]

A member of the Venus Health Academy team will review your application and contact you with the next steps.