D.O.P.E. DSW® Media Podcast Guest Invitation & Inquiry

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One Storychanges everything!

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WelcomeLet's Gather

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Join The ConversationWhere lived experience is honored, voice is welcome and story is gathered with intention.

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Guest InformationWhere we learn about you—not just your title or position, but the person carrying the voice.

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Full Name* This field is required.

First Name

Last Name

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Preferred Name

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Email Address* This field is required.

example@example.com

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Phone Number

Please enter a valid phone number.

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Current Role, Calling or Community Connection * This field is required.Name the work, purpose or community connection that tells a little more about how you move, serve and show up in the world.

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How did you hear about the D.O.P.E. DSW® Media Podcast?* This field is required.

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What Shaped Your Becoming* This field is required.What moments, experiences, or turning points across your life, professional, and /or spiritual journey have most influences your growth, perspective, and sense of purpose?

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Choose Your LensSelect the lens that best reflects your story.Your selected lens helps guide the heart of the conversation and the story we prepare to gather together.

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Choose the Lens That Best Reflects Your Story* This field is required.

Faith and Calling

Leadership and Stewardship

Lived Experience and Community Insight

Innovation and Systems Change

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What experiences or moments first made you aware that your life or work was connected to something deeper than yourself?* This field is required.

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How has faith, spiritual discernment, or obedience shaped the direction of your personal or professional journey over time?* This field is required.

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What would you say to someone who senses they are being called into something meaningful but feels afraid to move forward?

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How do you personally define leadership, and what does stewardship mean to you in the work you’ve been entrusted to do?* This field is required.

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Can you share an experience that shaped how you lead with responsibility, integrity, or care?* This field is required.

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What does it look like, in your view, to lead in a way that leaves people, communities, or institutions better than you found them?* This field is required.

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What parts of your lived experience have most deeply shaped the way you see people, community, and the world around you?* This field is required.

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How have your personal journey, cultural identity, or community realities influenced the voice and perspective you carry today?* This field is required.

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What wisdom, truth, or encouragement would you want listeners to carry with them after hearing your story?* This field is required.

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What problem, barrier, or gap first made you realize that something within a system needed to change?* This field is required.

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How have you approached creating, reimagining, or advocating for a better way forward in your work or community?* This field is required.

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What gives you hope when you think about the future of leadership, advocacy, service, or systems change?* This field is required.

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Your selected lens helps guide the heart of the conversation and the story we prepare to gather together.

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Recording ReadinessBefore we gather in conversation, we take a moment to prepare the space. This helps us steward a dialogue that is accessible, thoughtful, and supportive so every voice can be shared with intention and care. This conversation space is designed to be flexible and welcoming. Sharing any needs or preferences does not affect participation; it simply helps us steward the conversation with care.

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Are you able to set aside 30 to 45 minutes for a recorded conversation?* This field is required.

Yes

No

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Do you have a reliable internet connection to support the recording?* This field is required.

Yes

No

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Are you available for a 30-45 minute recorded conversation* This field is required.

Yes

No

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If the gathering includes video, do you have a webcam available to use?* This field is required.

Yes

No

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Are there any accommodations, accessibility needs, or supportive considerations that would help this conversation feel more comfortable and accessible for you?Optional Question

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If technology or internet access may create limitations, would you like us to explore other ways to support your participation, such as audio-only recording, phone recording, or adjusted scheduling?Optional Question

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Is there anything you would like the host to know in advance so we can prepare the space with care, comfort, and intention for your participation?Optional Question

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Preferred Recording Date* This field is required.Please select a preferred recording date at least 7 days in advance. This helps us review, coordinate scheduling, and prepare for your story to be gathered.

Date

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Story Sharing ConsentsEvery story shared within D.O.P.E. DSW® is approached with respect, care, and responsibility. This section outlines how your participation, recording, likeness, submitted materials, and related information may be used in connection with the D.O.P.E. DSW® platform. By proceeding, you acknowledge that your participation is voluntary and that, if selected or scheduled, your conversation and submitted materials may be used to support storytelling, reflection, learning, engagement, and related platform activities.

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Participation and Recording Consent* This field is required.

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Name, Voice, Image, and Likeness Release* This field is required.

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Editing, Excerpting, and Distribution Consent* This field is required.

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No Compensation Acknowledgment* This field is required.

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Submitted Content and Materials Acknowledgment* This field is required.

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Accuracy, Third-Party Rights, and Respectful Participation Acknowledgment* This field is required.

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Privacy and Information Use Acknowledgment* This field is required.

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Withdrawal / Revocation Language* This field is required.

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Release Acknowledgment* This field is required.

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Final Acknowledgment Before Signature* This field is required.

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Acknowledgment and SignaturePlease provide your full name, signature, and date to confirm that you have read, understood, and agreed to the terms above.

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Full Legal Name* This field is required.

First Name

Last Name

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Type a Question

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Signature Date

Date

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