Application Form

Given Name

Family Name

Date of Birth

Please use dd/mm/yyyy format.

Gender

Email Address

Contact number

Residential Address

Suburb

Outline why you believe you meet the selection criteria for The Academy and how you think you’d benefit from it?

300 words maximum

Please provide a summary of who you are, what you do, and why you do it (think of it as your elevator pitch!)

200 words maximum

What stream of The Academy do you think is most applicable to you?

Do you currently have exclusive agency representation within Australia?

NoYes (please specify where)

Do you currently have exclusive agency representation in any other country?

NoYes (please specify where)

Are you currently registered with any influencer agencies or online influencer platforms?

NoYes (please specify where)

If yes, please outline details of existing relationship including whether the arrangement is exclusive.

Please outline any formal qualifications you have, including details of the relevant tertiary education providers.

500 words maximum

Outline your industry experience and key career achievements within your area of expertise.

500 words maximum

Please let us know your experience with the following

Broadcast mediaPrint and online mediaPaid written contributions for media outletsUnpaid written contributionsContent creation on behalf of third parties (i.e. brands) - written, images, social or digital contentBook publishingPodcastsNone of the above

Tick all that apply

Please provide some examples of these activities e.g writing for specific media outlets etc

Add relevant links to media examples

I have read and agree to The Academy by The Lifestyle Suite application Terms & Conditions

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