NPI Education Instructor Application

Thank you for your interest in contributing to NPI Education. We will review your application and reach out if we have any additional questions.

Company Name *

Contact Email *

Contact Phone *

What category does your education fall under? Please select ALL that apply. *

Consulting
Tech Solutions
Staff Training
Office Management
Business Development
Call Management & Training
Practice Management
Virtual Assisting
Insurance Eligibility
Insurance Claims Management
Managing Recare
Treatment Acceptance
Embezzlement Protection
Financial Organization
Executive Coaching/Leadership
Team Culture/Development
Practice Acquisitions
Practice Brokers
Practice Marketing
Social Media Training
CPA - Accounting - Taxes
Legal
Insurance Co Negotiations
Human Resources
Personnel Staffing
Hobbies & Recreation
Other

Please explain the subject of your education below: *

How many years have you served the dental industry? *

Are you a professional speaker? *

Please provide at least one link to your education for us to review (video, article, website, etc.) *

Link #2

Link #3

Please provide three references of active clients/customers (Contact Name - Practice Name - Email - Phone) *

Please provide three references of dental professionals who know the value and quality of your work (Contact Name - Practice Name - Email - Phone) (copy) *

Are you interested in collaborating with any of the other instructors? If yes, with whom, and on what? *

Why do you want to become an instructor on NPI Education? *

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NPI Education Instructor Application

Thank you for your interest in contributing to NPI Education. We will review your application and reach out if we have any additional questions.

Name *

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Last

Email *

Instructor

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