SHELEV8S PODCAST INTAKE FORM

PODCAST INTAKE FORM
ShElev8s Podcast
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In three (3) sentences or less, please explain the most challenging experience you've overcome in your life.
In three (3) sentences or less, please explain how you overcame the experience.
In three (3) sentences or less, please explain how you overcame the experience.
With one (1) sentence, complete this statement: I'm excited to be on the ShElev8s Podcast because...
In 500 words or less, tell us your 'before and after' story.
Is there any part of this story you would rather NOT discuss or are you an open book?
Do you have a product, course, program, service, etc you would like to promote during your episode? If so, please describe.
If applicable, are you willing to give the viewers of the ShElev8s Podcast a 10% discount?
Are you willing to create a joint venture with the ShElev8s Podcast for a 50/50 revenue split from sales resulting from this episode?
YOUR BRAND
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SOCIAL MEDIA
Fanpage
# Likes
Personal Page
# Followers
Personal Page
# Followers
Personal Page
# Subscribers
I am comfortable with being asked anything about my story.
I do not mind follow-up questions from the host for more depth.
I am okay with a 2nd appearance on the ShElev8s Podcast if the interview runs longer than 45 minutes.
YOUR BRAND
Website
Tagline
Logo/Headshots

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Facebook Name/ #Subscribers
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YouTube Name/ # Subscribers
TikTok Name/ # Followers
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Which account would you like highlighted on your episode?
CLIENT AGREEMENT
By signing here you consent to the ShElev8s Podcast using your images and interview, whether in clips or in its entirety on the ShElev8s Podcast website and social media accounts.
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THANK YOU! THANK YOU! HOW TO REACH US

Office Hours: M - F 9:00am - 5:00pm EST

shelev8s@gmail.com

(202) 819-0547‬

www.shelev8s.com
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PODCAST INTAKE FORM

ShElev8s Podcast

YOUR BRAND

SOCIAL MEDIA

YOUR BRAND

CLIENT AGREEMENT