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Human Range: My Life, My Journey Guest's Details

Thank you for agreeing to be interviewed on Quark Collaboration Voices! I'm super excited for my subscribers to meet you! I will just need a few details about you before we get started. Thank you in advance!
Full Name *

First Name Last Name
Email *
Phone Number *

Area Code Phone Number
Based on your career, what kind of topic would you like to talk about during the show and how does this fit into Quark's Mission and Vision ? *
Could you please give a brief biography about yourself? *
*No more than a 100 words please*
How would you like to be introduced? (Ex: "It is my pleasure to introduce Kat Cole, an author, Ted Speaker, and CEO of Cinnabon...") *
**No more than 2-3 sentences please** (less than 60 words please)
Please enter any contact information you would like my viewers to reach out to you or follow you on. (Email, website, YouTube, Instagram, Facebook, etc.) *
Please upload a headshot of yourself (or any photo of you that looks somewhat professional): *

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The interview will last for 30-45 mins typically but block out an hour just in case! Save this Zoom link since the interview will be conducted on there:
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Human Range: My Life, My Journey Guest's Details