AgileBrain Partner Materials Intake Form

Tell us about your organization, program, and team so we can build your certification brochure and get your cohort set up. The more complete your answers, the faster we can turn this around.

Organization Identity

Tell us about your organization
A full translated version is separate, additional scope — complete, reviewed copy is needed in that language, not just a translated name.

Which Program Are You Delivering?

Not every provider delivers the same AgileBrain program — tell us which one so we use the right session structure and credential details.

Important: if your program isn't the standard AgileBrain Professional Practitioner Certification (16-hour, 9-session structure), the brochure's session-by-session curriculum content will need to come from you separately — we won't assume the standard structure applies.
Program being delivered
Name, total hours, number of sessions/length of each, what's covered, and any credential/certification earned on completion.

Logo & Brand Assets

• Your organization's logo. Best case: a file with a transparent background (PNG or SVG) — this lets us place it cleanly on any color background. If you only have a logo on a solid white or colored background, send that anyway and we'll adapt it.
• If you have separate light and dark versions of your logo (e.g. one for white backgrounds, one for dark), send both.
Drag & Drop Files, Choose Files to Upload You can upload up to 2 files.
Upload your logo - SVG or PNG
Leave blank to use the standard AgileBrain palette. Only fill in if your organization has specific brand colors that must be used. Logo files and a trainer/leader headshot photo should be emailed separately as attachments — they can't be uploaded here.

Program Leader / Trainer

If we have questions, please provide an email address that we can contact you
One per line.
Drag & Drop Files, Choose Files to Upload

About Your Organization

History, founding story, accreditations, what you offer. Include specific accreditations/certifications your organization holds — these add real credibility.

Cohort Details

How should pricing appear on the brochure?
Discount, deposit amount, bonuses, deadline — or write “no offer currently”.
Name, price, and what's included for each tier — or write “not applicable”.

Contact & Call To Action

To be added to your materials
To be added to your materials
To be added to your materials

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Only include testimonials you have permission to publish. Leave blank if you don't have any ready yet — we will not invent or reuse another provider's testimonials.
Quote Permission

What Do You Need Built?

What do you need built?