The Mike Urban Show - Guest Intake Form

The Mike Urban Show Guest Intake Form
About You
Full Name*
Please write your name EXACTLY how you want it to appear online, whether it's First Last Name, First Middle Last Name, First Initial Last Name, etc.
Email*
You will receive an email copy of this submission.
Professional Headshots*

This is for the YouTube thumbnail. We want you to look like the amazing expert that you are! So if your submitted photos aren't high quality enough, we will simply take your photo on the spot at Mike's studio where there is good lighting.
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Short Bio*
Please read this out loud and time yourself to make sure this is at most 1 minute long before submitting, so we can keep the intro short and maximize time on your topic
Social Media
Website*
This will be shared in the show notes for the audience.
LinkedIn
This will be shared in the show notes for the audience.
Facebook
This will be shared in the show notes for the audience.
Instagram
This will be shared in the show notes for the audience.
TikTok
This will be shared in the show notes for the audience.
YouTube
This will be shared in the show notes for the audience.
X (formerly Twitter)
This will be shared in the show notes for the audience.
Show Prep
Please provide reference material for Mike to read and prepare beforehand. You can provide reports, articles, data, graphs/charts, videos, etc.

The baseline knowledge allows Mike to ask you high quality, deep and informed questions and keep up with you in the conversation, and avoid sticking to superficial questions.

We will also link this source material for the audience in the show notes so that they can read as well if they want to explore the topic deeper.
Reference Material*
Reference Material

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If you've been interviewed by media elsewhere before, what you desperately wish they would have asked you, but they never did, and therefore you never got a chance to speak about?*
If you don't have anything, just put N/A
Cell Phone Exchange
The Mike Urban Show is a LIVE IN-PERSON show. Thousands of people are expecting you to show up on time. It is important to stay in communication in case an emergency comes up on the day of the show.

Please add our phone numbers to your phone book now, so that you're not frantically looking for it through your email when you most need it.

Mike Urban
(617) 686-9299

Annie Margarita Yang
(806) 544-2929
Phone Number*
The show is LIVE. Please enter your PERSONAL CELL so we can get in contact in case of last minute emergencies on the day of the show.
Should be Empty:

The Mike Urban Show Guest Intake Form

About You

Social Media

Show Prep

Cell Phone Exchange