Media Partner Application


All fields are required

1. Please enter the address for your portal:

2. Please list any sites our schools could potentially be advertised on:

3. How long has your site(s) been live?

4. Please list all traffic sources to your site(s). Include the percentage of traffic from each source:

Are we able to select leads from specified traffic sources?

5. Please describe your audience demographic as specifically as possible:

Age:

Education Level:

Gender:

Income:

6. How many schools are currently listed on your site(s)?

7. Please estimate the lead volume you can generate in a given month:

8. Do you have the following geo-targeting capabilities? (select all that apply)

9. What degree level(s) you are able to generate leads for? (select all that apply)

10. Do you prefer to link to a GearyPMG-hosted landing page or form post?

11. What is the typical timeframe for initial creative buildout?

12. Do you have the ability to send functional preview links for us to review landing pages as they will appear live?

13. Are the leads you generate exclusive leads?

14. Are additional schools listed for the user to select upon completion of the form?

15. On average, how many schools' form pages does a visitor fill out during a visit to your site?

16. Do you have the ability to manage campaigns by: (select all that apply)

17. Are you able to implement daily lead caps?

18. Are you able to make significant changes to a buy based on conversion data provided by the client?

19. In what way(s) are you different from other vendors in the education vertical?

20. Please list your contact information below:

First Name:

Last Name:

Company:

Title:

Email Address:

Work Phone:

Website:

Additional Comments: