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INSTRUCTOR INFORMATION ASSESSMENT

Everything we need to get you set up!

Welcome to the Sparked Soul faculty.

This form collects the administrative, professional, marketing, payment, and production information our team needs to officially onboard you as a Sparked Soul instructor.

Please complete the form in its entirety and upload the requested materials. You should only need to provide this information once. If anything changes, let our team know and we'll update your instructor record.

Estimated Completion Time: 10–15 Minutes

Click the button below to start the INSTRUCTOR INFORMATION ASSESSMENT

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SECTION ONE

BASIC INFORMATION 

Question 2 of 54

Legal Name

As it appears on your tax and contractual documents. 

Question 3 of 54

Professional / Public Name: 

If different from your legal name. 

Question 4 of 54

Preferred Name

What should our team call you? 

Question 5 of 54

Name Pronunciation

Optional. You may spell it phonetically. 

Question 6 of 54

Date of Birth  

Question 7 of 54

Primary Email Address  

Question 8 of 54

Primary Phone Number 

Question 9 of 54

Mailing Address*  

 

Street: _________ City: ________  State/Province: _____ Postal Code: _______ Country: ______ 

02. YOUR PROFESSIONAL PROFILE

This information helps us accurately represent you across Sparked Soul.

 

Question 11 of 54

Current Professional Title

Question 12 of 54

Credentials You Want Displayed Publicly 

Question 13 of 54

Current Company / Organization

Question 14 of 54

Years of Professional Experience 

Question 15 of 54

Short Professional Bio

Please provide a short biography we may use as the starting point for your Sparked Soul instructor profile. 

Question 16 of 54

Areas of Expertise

List the primary subjects or areas in which you have professional expertise. 

Question 17 of 54

Professional Licenses / Certifications 

Please list relevant licenses, certifications, issuing organizations, jurisdictions, and expiration dates where applicable. 

Question 18 of 54

Are all professional licenses relevant to your Sparked Soul work currently active and in good standing? 

A

Yes

B

No

C

Not Applicable

03. YOUR PUBLIC INSTRUCTOR PROFILE

HOW SHOULD WE PRESENT YOU TO THE WORLD

Question 20 of 54

How should your Name & Professional Title appear publicly on Sparked Soul? 

Question 21 of 54

Preferred Credentials After Your Name

Example: PhD, LCSW, LMFT, NP 

Question 22 of 54

Headshots + Professional Images 

 

Please upload: 

 

☐ Primary professional headshot
☐ 2–5 additional high-resolution professional images 

file_upload
insert_drive_file

Question 23 of 54

Your Official Website 

Question 24 of 54

Social Media Handles 

 

Instagram:  

TikTok: 

YouTube: 

LinkedIn:

Facebook:

Question 25 of 54

Are there any organizations, books, businesses, projects, or current initiatives you would like included when relevant? 

04. MARKETING + MEDIA

This section gives our marketing team what we need to accurately introduce and promote you. 

Question 27 of 54

What are you best known for professionally? 

Keep this short. What would you want someone discovering you for the first time to immediately understand? 

Question 28 of 54

Are there professional accomplishments you would like us to consider when introducing you?  

 

Examples may include books, awards, notable media, research, organizations, speaking engagements, career milestones, or other relevant accomplishments.  

Question 29 of 54

Are there any titles, descriptions, credentials, claims, or language you do NOT want Sparked Soul to use when describing you?  

05. BUSINESS + PAYMENT INFORMATION

Tell us how to set up your payment/tax process. 

Question 31 of 54

How are you contracting with Sparked Soul? 

☐ As an individual / sole proprietor
☐ Through my business / company 

 

If business:

Legal Business Name:

DBA / Trade Name, if applicable:  

Business Mailing Address:  

Business Email:  

Payment Contact 

Name:

Email:

Phone:  

Question 32 of 54

Where will payments be received?

A

United States

B

International

Question 33 of 54

Tax Documentation 

☐ I understand that I will be required to complete the applicable tax documentation and payment setup requested by Sparked Soul. 

 

 

A

I Agree

B

I Don't Agree

06. PRODUCTION + TRAVEL INFORMATION

Help us prepare for your production day

Question 35 of 54

Home

City | State | Country 

Question 36 of 54

Nearest Major Airport 

Question 37 of 54

Are you able to travel for Sparked Soul production?

 

A

Yes

B

Yes, with reasonable notice

C

Limited availability

D

No

Question 38 of 54

Are there any general scheduling limitations we should know about? 

Question 39 of 54

Travel Name

Full legal name exactly as it appears on your government-issued identification

Question 40 of 54

Production Accommodations 

Are there any accessibility, mobility, dietary, religious, scheduling, or other accommodations our production team should be aware of when planning your filming experience? 

Question 41 of 54

Emergency Contact

 

Name:  

Relationship: 

Phone:  

Question 42 of 54

Have you filmed professional educational or media content before?

A

Yes

B

No

Question 43 of 54

Are you comfortable using a teleprompter if needed? 

A

Yes

B

No

C

I've never used one

Question 44 of 54

Are there any physical, visual, accessibility, or production considerations our team should know when preparing your filming experience?

08. COMMUNICATION + ADMINISTRATION

Business Communications

Question 46 of 54

Primary Contact 

Who should Sparked Soul communicate with regarding your instructor Contracts, payments, & productions communication?  

☐ Me   

☐ My assistant / manager / representative 

 

If someone else:

Name: Role: Email: Phone:  

09. CONFLICTS + PERMISSIONS

CONFLICTS + PERMISSIONS 

Question 48 of 54

Do you currently have any employer, agency, publisher, sponsorship, licensing, exclusivity, confidentiality, or other agreement that could affect your ability to participate in a Sparked Soul course? 

A

No

B

Yes

Question 49 of 54

Will you require approval from an employer, organization, agent, publisher, manager, or other third party before filming or publishing your Sparked Soul course? 

A

No

B

Yes

10. MATERIALS + ASSETS

10. MATERIALS + ASSETS 

Question 51 of 54

Upload Any Necessary Instructor Materials 

Please provide anything that applies. 

 

☐ Professional headshot
☐ Additional professional photos
☐ Current professional bio
☐ Resume / CV
☐ Logo / business branding, if relevant
☐ Media kit, if available
☐ Credential/license documentation, if requested
☐ Other relevant professional materials 

file_upload
insert_drive_file

11. FINAL REVIEW

FINAL REVIEW 

Question 53 of 54

Before submitting, please confirm: 

(Select all that apply)
A

My legal and contact information is accurate.

B

My professional titles, credentials, and biographical information are accurate.

C

I have identified any known restrictions that could affect my participation.

D

I understand Sparked Soul may use the information provided here to administer my instructor relationship, prepare my instructor profile, coordinate production, process applicable payments, and support marketing and launch activities, subject to our agreements and applicable policies.

E

I will notify Sparked Soul if any material information provided in this assessment changes.

Question 54 of 54

INSTRUCTOR NAME:  

 

DATE:

 

Confirm and Submit