Media Influencer and Content Creator Intake Form

Posted May 12, 2026

Are you a content creator, travel writer, photographer, or videographer planning a trip to York, Durham or Headwaters and interested in working with Central Counties Tourism?

Please fill out this form with as much detail as possible to help us become familiar with your work and your audience.

Requests are reviewed on a case-by-case basis. When evaluating opportunities, we consider factors including engagement rates, style of photography/videography/writing, demographics of followers, and alignment with our current campaigns.

Thank you for your interest in working with Central Counties Tourism to promote our regions – York, Durham and Headwaters!

Section 1: Tell Us About Yourself

Contact Information (required)

Full Name

Email Address

Phone #

Website (if applicable)

Short Bio

Social Media

List your social media handles and audience size.

Facebook

Instagram

X (formerly Twitter)

TikTok

YouTube

Other / Please specify

Content Themes

What theme(s) does your content focus on? (Select all that apply.)

Family TravelCulinary (food, wine, craft)Outdoor Adventure (Motorsports, Fishing)Lifestyle (Fashion, Spas, Shopping)LandscapesUrban (cities, architecture)Other

If Other, please specify:

Media Type

What type of content do you specialize in? (Select all that apply.)

PhotographyVideoWritten ContentOther

If Other, please specify:

Section 2: Tell Us About Your Media Outlet (If Applicable)

Outlet Details

Media Outlet Name

Outlet Website

Circulation

Outlet Profile

Section 3: Tell Us About Your Followers

Please answer with factual data from your social media channels. You may be required to provide us with proof of your analytics.

Audience Geographical Location

Where is your audience predominantly from? Indicate cities/country by percentage.

Audience Demographics

Which age groups does your audience fall under? Select the top two categories.

13-1718-2425-3435-4445-5455-6465+

Section 4: Project Pitch

Project Overview

Describe your project idea/story angle and the goals of your visit.

Products & Experiences

Where in York Durham Headwaters do you intend to visit and what experiences do you want to feature?

Outcomes

What content do you intend to produce during your visit?

Anticipated Coverage

Number of posts and type of coverage (stories, videos, static posts, etc.).

Host Partners

Will you include coverage and mention of host partners?
YesNo

Section 5: Support Needed

Types of Support

Select any that apply:

Support in crafting your itineraryAccess to be arranged for the experiences noted

Financial Support

Are your costs covered by a publication?
YesNo

Are you looking for CCT to pay for this opportunity?
YesNo

Are you looking for experiences to be comped by the featured stakeholders?
YesNo

In order to be compensated, please provide a breakdown of your costs, along with deliverables.

Other? Provide details:

Section 6: Media Kit

Please provide a link to your media kit (for example Dropbox, Google Drive, etc.).