Rising Above Hell — Podcast Guest Application
Healing the World — One Song at a Time | Hosted by Jessie Tylre Williams
SECTION 7: CONSENT & RELEASE
By signing below, I grant Jessie Tylre Williams and Rising Above Hell (including its podcast, website www.jessie-williams.com, social media channels, and promotional materials) permission to use the information I have provided in this application, and my name, likeness, voice, image, biography, and any statements made during my recorded interview, for the purposes of preparing, recording, editing, publishing, distributing, and promoting the Rising Above Hell podcast, in any format or media, worldwide, without compensation. I understand that recordings may be edited for length and clarity. I confirm that the story I share is my own and true to the best of my knowledge, and that I will not knowingly share confidential information or make false statements about identifiable third parties. I understand that I may tell Jessie, before recording, any topics I do not wish to discuss, and that my stated boundaries will be respected. I understand that the information in this application is used to evaluate my suitability as a guest and that submitting it does not guarantee an appearance on the podcast.
Consent acknowledgments
*
May we quote from your written answers in this application in promotional materials?
Yes
No
Only with my approval first
Full Legal Name (printed)
*
Signature
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
About You
Full Name
*
First Name
Last Name
Preferred Name / Pronouns
Professional Title or Role
Location & Time Zone
Email Address
*
example@example.com
Website / Social Media
How did you hear about us?
Your Story
In your own words, who are you and what have you survived or overcome?
*
What was your rock bottom moment — the one that changed everything?
*
Was there a specific turning point where you decided to rise? What happened?
*
How has trauma, addiction, loss, or adversity shaped who you are today?
*
What does “rising above hell” mean to you personally?
*
Healing & Recovery
What tools, practices, or people have been most essential in your healing journey?
*
Have you struggled with mental health, PTSD, addiction, or grief? Are you comfortable discussing this openly on the podcast?
*
What is the hardest part of your story to talk about — and are you willing to go there?
*
What do you wish more people understood about trauma and recovery?
*
What does your life look like today compared to your darkest moment?
*
Your Message & Mission
What is the core message you want our listeners to hear from you?
*
Who is the one person in our audience you most want to reach — and what would you say to them?
*
Do you have a book, organization, program, or movement you would like to share with our audience?
Are you a veteran, first responder, healthcare worker, or advocate in the trauma/recovery space? If so, please tell us about that work.
Is there a song, quote, or piece of art that has carried you through your darkest times? What is it and why?
For Our Audience
Why do you believe your story belongs on Rising Above Hell?
*
What is one thing you have never said publicly that you might be willing to share on this podcast?
What do you want listeners to feel after hearing your episode?
*
Have you been a guest on other podcasts? If yes, please share any links to episodes that you would like us to see.
Is there anything you are not ready or willing to discuss? Please be specific so we can honour your boundaries.
*
Logistics
Are you comfortable recording live via video call (Zoom, Facebook, or similar)?
*
Yes
No
Maybe — let's talk
Any final thoughts, questions, or anything else you want Jessie to know before your conversation?
Submit
Should be Empty: