Form

Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

What is your story you would like to tell on The Determined Society with Shawn French? (Please be detailed so my team and I give your application the attention it warrants)

What is your goal by being on the show? (How is this going to help you?)

This is a Top 20 show and a guest appearance is NOT free. Are you willing to invest to be on the show?

How motivated are you with this opportunity?