EOLU Podcast Guest Form

EOLU Podcast Guest Form
Thank you for your interest in being a guest on the End-of-Life University Podcast! I'm excited to talk with you. Please complete the following form at your earliest convenience to help me plan and prepare for our conversation. I'll get back to you before the interview with any additional information you'll need.

This will be a one hour session over Zoom recording both AUDIO and VIDEO, so be prepared for that.
Name

First NameLast Name
Organization
Cell Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
Personal Website
Social Media
What would you like to discuss during the interview? (include any promotions or upcoming events)
Suggest 4-5 questions you'd like to be asked:
Please provide a high-resolution headshot to utilize in the podcast promotional materials

Cancelof
Provide a brief bio to use for your introduction.
Please verify that you are human
Should be Empty: