Creating Powerful Impact Guest Application

Creating Powerful Impact Guest Application

Please note that we can not guarantee that you will be selected for the show given the large number of inquiries. Please fill this out as completely as you can!
Name*

First NameLast Name
If you are an agency submitting for multiple clients, please use the client's email as the primary and yours as the assistant. Otherwise, each new application is overwritten in our system.
Primary Guest's E-mail*
example@example.com
Organization / Company Name*
Phone Number*

Area CodePhone Number

Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
How did you hear about us? Please provide the specific publication or agency name, if used.
What is your experience with hosting events to scale your business?*

Please provide the social media links you would like use to use in the podcast show notes and episode promotion
Website
Facebook Profile
Instagram Profile
LinkedIn
How Big Is Your Email List?
Please share any links to past speaking engagements or social media content

Tell us about you, your company and the impact you are creating.
Tell us about how you have scaled your business and leveraged your time. We are looking for specific tactics, events or strategies that helped you scale. This is the pulling back the curtain piece so the audience can really hear what it takes to scale a business. *
Who is your ideal client? *
Why do you want to be on the our podcast? Tell us about the Powerful Impact you are creating.*
Please include your Bio*
How you would like to be introduced. (No more than one short paragraph)*
Topics you want to discuss*
Do you have any specific questions you'd like to be asked? *
Do you have a high-ticket offer?*

YesNo
If you answered yes to the above question, please tell us more about your offer
Anything you want to add?
Please upload your preferred headshot that will be used for promotion of your episode.

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Share with us how you would like to stay engaged with our audience
Do you have a free gift you would like to share with our audience?*

Yes! I have the link for you nowYes! I will send the link to you before our interview, if I'm acceptedNo, I don't have a free gift
Please provide the URL to your Free Gift
Please provide any graphics you have for your Free Gift

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Please read the guest requirements for the show. We are only able to feature guests on our podcast who fit our format requirements. Do you meet the full qualifications to be on the show?*
If your application is accepted, we ask two things: Subscribe to the Creating Powerful Impact podcast on Apple Podcast, Spotify or YouTube AND leave us a review on that platform. Then send us a screen shot of your review (send to podcast@shaywheat.com).*
Please note: If the primary contact email is unsubscribed from our system before you hear back from us, we are unable to contact them about their approval.
Please verify that you are human*
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