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Provider Application

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Congratulations on taking the first step towards becoming a Glownest provider.

We're excited to have you join our mobile network.

The following will take approximately 10 minutes to complete.

If you have any questions, email us at - [email protected]

Contact Information

Email *

First Name *

Last Name

Phone *

City *

Postal code *

How did you hear about us?

Google

Job Post

Referral

Gender

Male

Female

Area you're licensed to work

Atlanta, GA

Miami, FL

Eligibility Criteria

We take every precaution to build trust and provide a safe environment for both our clients and providers.

If you're eligible to join as a Glownest provider, additional verification steps will be required

(e.g. Proof of Insurance)

Insurance

Do you have General Liability and Professional Liability Insurance and can provide a copy?

Yes

Professional License

Are you licensed in your state of practice and able to provide a copy?

Yes

Do you consent to a background check (required for all providers)? *

Yes

Social & Transportation

What’s your Instagram handle?

What’s your Facebook profile URL?

Can you travel to appointments with your own car?

Yes

Do you have a mobile kit and can carry the required equipment?

Yes

Have you ever been convicted of a felony?

Yes

Service & Experience

Which services are you trained AND licensed for? (Select all that apply)

Massage Therapy

Prenatal Massage

Esthetician

Nail Technician

Makeup Artist

Hairstyling

Body Wraps

Years of experience for selected services:

0-1
2-3
4-5
6+years
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Payment Requirements

QUICK LINKS

Consent Form

Terms and Condition

Refund, and Cancellation Policy

REACH OUT US

Office: 1401 Pennsylvania Ave. Unit 105, Wilmington, DE 19806, United States

Call : +1-231-888-(8698)

Email: [email protected]

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