Women & ADHD Podcast Guest Form

Thank you for your interest in being a guest on the Women & ADHD podcast!

Please fill out the form below so that we have all information needed before our recording.

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If you have any further questions, please email us at info@womenandadhd.com.

Name*

Email*

example@example.com

Preferred pronouns*

Please submit a brief bio to be used in podcast promotional materials.*

Do you have a website? If so, please add link below.

Please list all relevant social media accounts (Instagram, LinkedIn, Facebook, TikTok, etc.).

Please list a few relevant topics you'd like to explore during the interview.*

Please share any links to past podcast appearances or relevant speaking engagements.

Do you have any subjects that are off-limits?

Anything you'd like Katy to know before the interview?

Please provide a high-resolution COLOR headshot for us to use in podcast promotional materials. (Please review the podcast Instagram feed to give you an idea of what we're looking for.)

Upload your color headshot:*

I understand and agree that I will receive no compensation for my appearance on and participation in this interview.*

Yes

I understand and agree that my name and image will be used in promotional material for the Women & ADHD podcast, but NOT as an endorsement of any product or service.*

Yes

I understand and agree that the airing of my interview, including its air date, is entirely at the discretion of podcast host and creator Katy Weber.*

Yes

Podcast Guest Information