Podcast Guest Intake Form
We're thrilled you want to be on our show! Complete the form below and we'll be in touch shortly.
Please write the phonetic pronunciation of your full name
Street Address Line 2
State / Province
Postal / Zip Code
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YouTube / Other
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Your bio in 2-3 sentences
Why do you want to be on The Mediacasters? What story are you working to tell?
Provide 2 tips or tools you'd like to share with our audience that can help elevate their voices and improve their impact
Please share any links to past speaking engagements
Type "YES" below to acknowledge that you understand any recorded content is the property of The Mediacasters and may be used in promotion of the show. While each show is edited, final edit shall be at the discretion of The Mediacasters and copyright remains that of The Mediacasters
Cross-promotion for greater impact
Yes, I agree to promote the podcast we record together on social media, in an email to my community, and on my website as applicable.
Please provide at least one high-resolution headshot to utilize in the podcast promotional materials. Be sure to include your logo and book image as applicable (multiple files are allowed)
How did you hear about us?
Referred by someone
I'm a listener
Anything you want to add?
Please verify that you are human
Should be Empty: