Podcast Speaking Request Form
Please fill out this form if you'd like us to speak on your podcast.
Who are you requesting for your podcast?
*
Please Select
Nichole Schmidt
Jim Schmidt
Joe Petito
Tara Petito
Multiple/other
If you're not sure, select multiple/other
Your Email
example@example.com
Date of recording?
*
If you're not sure, put TBD
What is the topic of discussion?
*
Podcast category?
*
Please Select
True Crime
Health & Wellness
Education
Business
Entertainment
Lifestyle
Other
Tell us about your podcast....
Would you be willing to share your monthly stats for listeners/downloads?
Will the podcast be in person or virtual?
*
In person
Virtual
IF IN PERSON, will travel be covered?
Yes
No
Is there an honorarium or donation to foundation offered?
*
Yes
No
Submit Request
Should be Empty: