Expression of interest to present at 2023 ExNZ Conference ExNZ Conference 2024 (Formerly known as FitEX) is being held in Auckland on the 24-26th of November This expression of interest needs to contain full information on the session you are offering to be considered for presentation at the 2023 ExNZ Conference. Important note about session types "Group Exercise" is determined in line with NZ registration level for Group Exercise - This is Exercise to Music - Pump Step Indoor Cycle etc etc. This also includes mind body sessions such as Yoga, Pilates, Tai Chi etc. (Small) Group Training - is deemed to be Exercise Prescription or Specific populations (as applicable). The information contained in this expression of interest to present is used to determine session selection, timetables and equipment availability. Incomplete applications will limit your ability to request equipment later (as the schedule is designed to minimise conflicting equipment and room requests). Name (legal name for use on Airline tickets etc)(Required) First Last Preferred Name (for use in marketing etc) Email(Required) Enter Email Confirm Email Mobile Phone Number(Required)If no mobile please enter a land line number hereFacebook username - for tagging posts/videos Instagram username - for tagging posts/videos Are you presenting on behalf of an organisation?(Required)YesNoThis means your session would be listed as sponsored and the organisation you are presenting for would cover your travel, accommodation and other costs while at the event. In exchange they are listed as the session sponsor. Please advise us of the name of the sponsoring organisation: Have you presented at the FitEx Conference before?(Required)YesNoPrevious Experience presenting at similar events: (please include details on the session and conference)(Required)References who can confirm your suitability as a presenter (include email and phone numbers where possible)(Required)How many sessions would you like to submit for consideration? Max 4(Required)1234I have other sessions that I could present in addition to ones I am submitting as part of this application(Required)YesNoPlease list information here(Required)Please list possible titles - and the topic type (eg Business or Exercise Prescription etc) - if there is a gap in these areas we may ask you to give us more information. Session 1 Title:(Required) Session 1: This session can be presentedLive onlyVirtually if requiredSession 1: Session Description(Required)Session 1: Learning Outcomes (200 words Max - please use bulletpoints)(Required)Session 1: Technical Level you are pitching the session at(Required)NoviceIntermediateAdvancedSession 1: What prior experience would the attendees require?(Required)NoviceIntermediateAdvancedSession 1: Have you presented this session (or something very similar) at a FitEX Conference before?(Required)YesNoWhat year(s) did you present this session? Session 1: Length of Session(Required)1 hour2 Hours (different experience levels in each time slot)2 Hours (same experience level throughout).Session 1: Type of session(Required)Lecture OnlyLecture with space for PRESENTER demonstrationLecture plus movement by participantsOnly Movement based sessionGroup Exercise Class - Exercise To MusicSession 1: Equipment Requirements for Attendees and Equipment for Presenter (PC: Control button and click Mac: Command and click to select more than one)(Required)I require a data projectorI require a whiteboard and markersI require some other equipmentSelect ALL that apply Please assume NOTHING List all equipment you need - note the number supplied with be determined by other choices made in the application (i.e. if lecture and presenter demonstration is selected only 1 of the item will be supplied) Equipment Requests(Required)Session 2 Title:(Required) Session 2: This session can be presentedLive onlyVirtually if requiredSession 2: Session Description(Required)Session 2: Learning Outcomes (200 words Max - please use bulletpoints)(Required)Session 2: Technical Level you are pitching the session at(Required)NoviceIntermediateAdvancedSession 2: What prior experience would the attendees require?(Required)NoviceIntermediateAdvancedSession 2: Have you presented this session (or something very similar) at a FitEX Conference before?(Required)YesNoWhat year(s) did you present this session? Session 2: Length of Session(Required)1 hour2 Hours (different experience levels in each time slot)2 Hours (same experience level throughout).Session 2: Type of session(Required)Lecture OnlyLecture with space for PRESENTER demonstrationLecture plus movement by all participantsOnly Movement Based SessionGroup Exercise Class - Exercise To MusicSession 2: Equipment Requirements for Attendees and Equipment for Presenter (PC: Control button and click Mac: Command and click to select more than one)(Required)I require a data projectorI require a whiteboard and markersOther requirementsSelect ALL that apply Please assume NOTHING List all equipment you need - note the number supplied with be determined by other choices made in the application (i.e. if lecture and presenter demonstration is selected only 1 of the item will be supplied) Requested Equipment(Required)Session 3: Title(Required) Session 3: This session can be presentedLive onlyVirtually if requiredSession 3: Session Description(Required)Session 3: Learning Outcomes (200 words Max - please use bulletpoints)(Required)Session 3: Technical Level you are pitching the session at(Required)NoviceIntermediateAdvancedSession 3: What prior experience would the attendees require?(Required)NoviceIntermediateAdvancedSession 3: Have you presented this session (or something very similar) at a FitEX Conference before?(Required)YesNoWhat year(s) did you present this session? Session 3: Length of Session(Required)1 hour2 Hours (different experience levels in each time slot)2 Hours (same experience level throughout).Session 3: Type of session(Required)Lecture OnlyLecture with space for PRESENTER demonstrationLecture plus movement by all participantsOnly movement based sessionGroup Exercise Class - Exercise To MusicSession 3: Equipment Requirements for Attendees and Equipment for Presenter (PC: Control button and click Mac: Command and click to select more than one)(Required)I require a data projectorI require a whiteboard and markersOther EquipmentSelect ALL that apply Please assume NOTHING - we will list what equipment attendees should bring to participate based on your selection and we will ensure that the equipment you request is available (if we can't do this we will let you know before confirming your session) - Note you should self supply any props you need as a presenter of the sessionRequested EquipmentSession 4: Title(Required) Session 4: This session can be presentedLive onlyVirtually if requiredSession 4: Session Description(Required)Session 4: Learning Outcomes (200 words Max - please use bulletpoints)(Required)Session 4: Technical Level you are pitching the session at(Required)NoviceIntermediateAdvancedSession 4: What prior experience would the attendees require?(Required)NoviceIntermediateAdvancedSession 4: Have you presented this session (or something very similar) at a FitEX Conference before?(Required)YesNoWhat year(s) did you present this session? Session 4: Length of Session(Required)1 hour2 Hours (different experience levels in each time slot)2 Hours (same experience level throughout)Session 4: Type of session(Required)Lecture OnlyLecture with space for PRESENTER demonstrationLecture plus movement by all participantsOnly movement based sessionGroup Exercise Class - Exercise To MusicSession 4: Equipment Requirements for Attendees and Equipment for Presenter (PC: Control button and click Mac: Command and click to select more than one)(Required)I require a data projectorI require a whiteboard and markersOther EquipmentSelect ALL that apply Please assume NOTHING - we will list what equipment attendees should bring to participate based on your selection and we will ensure that the equipment you request is available (if we can't do this we will let you know before confirming your session) - Note you should self supply any props you need as a presenter of the sessionRequested EquipmentAre you presenting any of these sessions elsewhere 3 months either side of FitEX Conference? (You can do this we just like to know):(Required)YesNoPlease give details of the event (date, location etc).Your Location(Required) Auckland within 150Km of Auckland New Zealand non Auckland Overseas Name of City/Town you are based in(Required) Your Profile Photo -Head & Shoulders(Required)Accepted file types: anyphotoformat(jpeg, jpg, tiff, gif, png, pdf, Max. file size: 15 MB.Please supply a head holders shot for your profile - this should be a head and shoulders shot of you only. - Photos may be cropped to make them uniform. Your Profile: (Max 1500 characters)(Required)This profile will be used in the online Brochure - it can include links to other sites at the bottom of the profile. Max 1500 Characters (approx. 250 words) Have you been subject to any complaints or investigations (criminal or civil) that could be considered ' inappropriate conduct' by others, wether upheld or not?(Required)YesNoThis question related to any matter which includes, but is not limited to, complaints to any Organisation and/or employers, facilities or any criminal complaints. - If in doubt answer yes and give details below. Answering Yes does not disqualify you com speaking at our events, but full and honest disclosure is required. Full details should include: Information on the complaint, who it was made to, the outcome, the date, any other applicable information that will allow for full and honest disclosure.(Required)Terms and conditions - I Understand that: (tick to continue)(Required) This is an application only, none, some or all of my submitted sessions may be selected for presentation. Discussion on any travel allowance / subsidy will be entered into once a speaker is confirmed if sessions are selected Payment is not made for speaking at the event Sessions must be educational - i.e. not be solely around the purchase of a product or service. You may be required to apply for an NZeTA if you are not an NZ or Australian pass holder / NZ Perm. Resident If your sessions are selected you will be asked to also provide a short video outlining who you are and your sessions(s) - Info will be provided when speaker agreements are sent out. Select AllNote: to complete all of these T&C must be accepted. If you have concerns about any T&C please contact nathan@exercisenz.org.nz to discuss these. I have completed this application and would like to submit it now(Required)Yes
