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 is to offer support and inspiration to those facing adversity by sharing the stories of successful women entrepreneurs who are driven by their values and purpose, alongside compassionate men from diverse backgrounds who have conquered significant challenges. These resilient individuals have emerged as inspirational leaders and adept business owners, all committed to making a positive impact on the world.

Together, we are dedicated to uplifting and empowering others on their journeys, demonstrating that even in the face of adversity, remarkable strength can be found. Your participation, whether as a guest or a listener, holds great significance within our community.
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!Co Author in Our AnthologiesOther
Title for Your Podcast *
Your Introduction in 3rd person, 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? Anthology Authors Write Author Below*
Short Description of Podcast Topic - 100 words, include the links on how you would like to be contacted by listeners. Written as a social media post*
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 so that we can reach more people and let us know below which episode you listened to.
Please share upto 4 Questions you would like to be asked. If you are in our Anthology you can skip this
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 Summits? Reply with the best email for this below*
Anthology Authors schedule your interview after your book launch. at your specified dates. All other Interviews are on Fridays. Schedule a time for your interview between 11am-2pm PST on Calendar link https://tidycal.com/seema-giri/break-free-to-brilliance-podcast-interview 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.

Social Media Links: https://linktr.ee/seemagiri
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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Thank you for your submission. We will review your application and confirm your schedule if we are a good fit.
Increase Your Visibility Even More: Written Interview Article & Your Video on YouTube @ Introductory Price of $125 (Value $300)

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. Interviews 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.
Answer the following questions in a word doc form:

1. 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 lesson you have learned since you become the expert in your field?

5. What 3 tips would you give to our readers so that they can level up in this area.
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.

Thank you for your submission. We will review your application and confirm your schedule if we are a good fit.

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