You can always press Enter⏎ to continue
Podcast Interview Form
Politics & Prose a Podcast by Author and Activist Gail Dudley
12
Questions
START
1
Name
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Press
Enter
2
E-mail
*
This field is required.
example@example.com
Previous
Next
Submit
Press
Enter
3
Website
Previous
Next
Submit
Press
Enter
4
What will the audience take away from our time together on Politics & Prose?
*
This field is required.
Previous
Next
Submit
Press
Enter
5
If you are an author of a book, please share the synopsis.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
6
Please provide 3 - 5 questions you would like the host to ask during your interview.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
7
Do you agree to showcase our episode on your social media and other platforms to bring buzz to our collaboration?
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
8
What are your social media handles?
Instagram
Twitter
Facebook
LinkedIn
Previous
Next
Submit
Press
Enter
9
Please upload your media one-sheet or bio
*
This field is required.
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Cancel
of
Previous
Next
Submit
Press
Enter
10
Please upload your product or book cover or professional image
*
This field is required.
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Cancel
of
Previous
Next
Submit
Press
Enter
11
This is a non-paid podcast opportunity; however, you can promote your products and services on the podcast. Are you willing to join me on Politics & Prose without compensation?
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
12
As a guest on Politics & Prose podcast, you will be held at the highest respect. When it comes to promotion, we will promote you and the episode on Gail Dudley's social media and website. Please note, we have young listeners as well. We ask that you keep that in mind during the interview. We trust that you will promote as well. Please sign below if you agree. Signature:
*
This field is required.
Clear
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
12
See All
Go Back
Submit