Break Free to Brilliance Podcast Guest Form

Podcast Guest Registration

Thank you for your interest on sharing your message on our Podcast. Pls complete the form completely.
Our mission: to provide a platform for spiritually aligned women entrepreneurs along with exceptional heart-centered men, from diverse backgrounds who’ve overcome massive challenges in their lives and turned themselves into leaders and business-owners who are out to change the world. Together we can inspire others with your transformational journey and unique perspective.
Name*

First NameLast Name
How did you hear about us?

Google SearchI'm a listenerSeema InvitedIf Referred by someone pls list their name in Other box so I can thank them!
Title for Your Podcast *
Short Bio 100 words max*
Professional Title ex. Life Coach, Fitness Expert*
Business Name
Phone Number*

Area CodePhone Number
E-mail*
example@example.com
Website
LinkedIn
Facebook
What is your social media reach across all your platforms(#)?*
Which social media platform are you most active on?*
How big is your email list?*
Why do you want to be on our podcast?*
Short Description of Podcast Topic - 300 words, include the links on how you would like to be contacted by listeners. This is in addition to the 300 words*
Subscribe to our podcast (https://podcasts.apple.com/us/podcast/break-free-to-brilliance-with-seema-giri/id1515887547), listen to episodes to understand the flow of the show, leave a review and let us know below which episode you listened to*
Please share upto 4 Questions you would like to be asked*
Please provide a high-resolution headshot to utilize in the podcast promotional materials

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Would you like to be contacted for speaking and or sponsorship opportunities for our Break Free/ Power of You Summits? Reply with the best email for this below*
Interviews are on Thursdays. Schedule a time for your interview between 11am-2pm on Calendly link https://calendly.com/seemagiri/30min then type Done in the box!*
Anything else you would like to add?
Must be connected with Seema Giri on Social Media to be tagged on episodes for your podcast to release.

FB, Linkedin and Instagram
Type Connected- once you have sent social media connection requests*
Must Read the Speaker/Guest Media Release Form Must Be Signed Below
I have thoroughly READ & UNDERSTOOD the Speaker Release Form above. By Signing Below I agree to all of its terms and conditions.*

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We have found giving access of your message to your audience in their preferred formats not only increases the recall value to your brand but also increases the value they receive. Blogs are a great way to increase your visibility, share your message in more detail and grow your email lists. YouTube adds the visual component for the visual learners. This will be shared across all our platforms (social media & email lists) and will reside permanently on our website www.uplyft.media. During the year we do various campaigns which will give you additional visibility opportunities at no additional cost.
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Answer the following questions in a word doc form:

1. Can you share why you decided to become an expert in your particular area?

2. What three strenghts do you think has helped you with your success today?

3. Can you share a specific example that reflects what you do?

4. What has been the most profound thing you have learned since you become the expert in your field?

5. What 3 tips would you give to our readers?
Upload the answers to the above questions and you can 2 links. Preferred word count is 600-800 words.

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Podcast Guest Registration

Must be connected with Seema Giri on Social Media to be tagged on episodes for your podcast to release.

Increase Your Visibility Even More: Blog Post & Your Video on YouTube @ Introductory Price of $125 (Value $300)