Queer & Here: Let's Talk Mental Health Podcast

Queer and Here: Let's Talk Mental Health Podcast Guest Form

This form is for people interested in sharing their professional expertise, their story, or anything relevant to LGBTQ+ mental health. We are here to be open and vulnerable and help people within the community. If you have a story to share, a topic you'd like to bring to light, or you're a professional that is passionate about helping the queer community, please fill out this form. I look forward to connecting with you.
Name

First NameLast Name
Pronouns
Preferred Pronouns
Organization
Phone Number*
E-mail*
example@example.com
Personal Website
Instagram (Optional)
Facebook (Optional)
TikTok (Optional)
Time Zone*
Tell me about yourself and why you want to be on the my podcast channel?*
Topics you want to discuss as it relates to LGBTQ mental health *
What's your favorite form of self-care?*
How did you hear about us?

Google SearchReferred by someoneI'm a listenerInstagramTikTokFacebookYouTube
Anything you want to add about your story?
By filling out this form and submitting, you are verifying that everything is accurate to your knowledge. You are also agreeing that after the podcast is recorded, you are okay with it being uploaded to podcast networks and social media pages.
Please verify that you are human*
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Queer and Here: Let's Talk Mental Health Podcast Guest Form