Before We Begin...
We only want to ask questions that you are comfortable answering and those whose answers are important to telling your story. Please provide only information you are comfortable sharing. Only your name and email address are required. All questions are optional. If there is an additional guest on the same podcast, you will be given the option after submitting one form, to fill out the form again.
Name
*
First Name
Last Name
Degree, not required
Email
*
Email address will not be displayed.
Web site
https://www.yourwebsite.com
Biography - Education, Occupation, Accomplishments, etc. (one or two. paragraphs)
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Tell us about the story you would like to tell.
Did you ever have the opportunity to make a difference in another persons' life?
Tell us about a life lesson that you learned and how it affected you?
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