Given Name

Family Name

Date of Birth

Please use dd/mm/yyyy format.

Gender

Email Address

Contact number

Residential Address

Suburb

Postcode

State

Nationality

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?

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

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

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

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

Please include a YouTube or Vimeo link to a video of no more than 90secs explaining to us why The Academy is of interest to you and why you believe you fit the criteria for selection.

Please note: For video, nothing more than a clear and audible self shot video is required. Production quality doesn't count towards your application.

Please upload a headshot of yourself

File must be no larger than 5MB