Teal Talk Podcast Guest Application

Teal Talk Podcast Guest Application

Multi-section application for podcast guests for PCOS Awareness Association. Follow the exact intro, thank you page, and autoresponder email from the provided spec.
Full Name

First NameLast Name
Preferred Name / How You Would Like to Be Introduced On Air
Pronouns
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
City, State / Country
Which best describes you?
Website or Primary Social Media URL
Instagram Handle
Headshot Upload

Cancelof
Short Bio
How long ago were you diagnosed with PCOS?
Which PCOS symptoms or experiences have shaped your journey most?

Other
What is the core story you want to share with our listeners?
What do you wish you had known earlier in your PCOS journey?
Have you shared your PCOS story publicly before? Where?
Is there anything you would prefer NOT to discuss on air?
Your Professional Title and Credentials
Area of Specialty
Years of Experience Working with PCOS Patients
What specific topic or angle do you want to cover?
3–5 Key Takeaways Listeners Will Walk Away With
Recent Podcast, Interview, or Speaking Appearances
Are you affiliated with any products, supplements, or services you would like to mention?
Name of the Product, Service, or Organization
Website
What problem does your resource solve for PCOS patients?
Category
Is this resource free, paid, or both?
Who is the ideal guest to represent this resource?
Are you open to a partnership, sponsorship, or affiliate arrangement with PCOSAA?
What makes your resource different from others in the PCOS space?
Your role or connection to PCOSAA
Which program, campaign, or initiative do you want to discuss?
Key updates, wins, or announcements to share
Calls to action for listeners
Preferred Recording Month
Time Zone
Do you have a quality microphone and quiet recording space?
Are you comfortable with video recording for promotional clips?
How did you hear about Teal Talk?
Are you willing to promote your episode on your platforms?
Which platforms will you share on?

Other
Approximate audience size across your primary platform
Final thoughts — anything else we should know?
I agree to allow the PCOS Awareness Association to use my likeness, audio, video, headshot, and submitted materials for promotional purposes related to the Teal Talk podcast and PCOSAA's mission. I understand my submission does not guarantee a podcast appearance.
Yes — add me to the PCOSAA newsletter for updates on Teal Talk, PCOS CON, and our programs.
Should be Empty: