Name
First Name
Last Name
E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Have you ever listened to The Cool Fireman Podcast?
YES
NO
1) Current Role/Title
2) Organization/Fire Department Affiliation (if applicable)
3) How long have you been in the fire service or related field?
4) Briefly share what inspired you to join this field or a memorable moment in your career.
PODCAST CONTENT
1) What topics related to firefighting/emergency services are you passionate about discussing?(Examples: firefighter mental health, community outreach, leadership, training, etc.)
2) Do you have any specific stories, experiences, or challenges you'd like to share?
3) Do you bring any specialized expertise (e.g., hazmat, wildland firefighting, rescue, etc.)?
4) Is there a message you'd like to share with the firefighting community or the public?
PERSONAL CONNECTION
1) What motivates you to serve in your role?
2) How do you manage the challenges of being a first responder?
3) Do you have any hobbies or funny stories you'd like to share?
4) Is there any topic you'd like us to avoid?
ADDITIONAL INFORMATION
1) Have you been on other podcasts or media? (Links, if any)
2) Social media handles, websites, or promotions you’d like to share:
3) Who contacted you about the podcast?
DOUG
FREDDY
MATT
UNKIE/ADAM
BRIAN
Other
Submit
Should be Empty: