EXNZ Academy - Masterclass Application

First name(Required)

Last name(Required)

Email(Required)

Phone (optional)

Name of business or company you represent and your title.

If supplied, this will be used in the promotional material.

Professional profile(Required)

This will be displayed on the Academy page with the booking form

Have you presented virtually before? (Zoom or similar platform)(Required)

Yes

No

Session name and objective/overview(Required)

Learning outcomes(Required)

Session length(Required)

Who would benefit from viewing this session? (list all roles)(Required)

Have you presented this session before?(Required)

Yes

No

If people paid to attend this session, what would you charge?(Required)

Quiz questions & answers

Is there another session you would like to present?(Required)

Yes

No

Session name and objective/overview(Required)

Learning outcomes(Required)

Session length(Required)

Who would benefit from viewing this session? (list all roles)(Required)

Have you presented this session before?(Required)

Yes

No

If people paid to attend this session, what would you charge?(Required)

Quiz questions & answers

Is there another session you would like to present?(Required)

Yes

No

Session name and objective/overview(Required)

Learning outcomes(Required)

Session length(Required)

Who would benefit from viewing this session? (list all roles)(Required)

Have you presented this session before?(Required)

Yes

No

If people paid to attend this session, what would you charge?(Required)

Quiz questions & answers

For each session, are you willing to pre-record a 'Quick Learn' video? (up to 5 minutes)(Required)

Yes

No

The intent of these Quick Learn videos are to cater to diverse learning methods - by offering short (but impactful) educational videos that touch on some key learnings of the longer format Masterclass.

When are you available to present?(Required)

Are you flexible/willing to work around our Academy schedule?(Required)

Yes

No

Where can our participants learn more about you and your work?

Presenter image (used for marketing)(Required)

Max. file size: 100 MB.