Breaking Free: A Modern Divorce Podcast
Podcast Guest Profile
Assistant's Name and Contact Information
Please Upload Your Headshot for Promotional Materials
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Media Outlets on Which You Have Been Interviewed and/or Featured
Short Bio (150 Words or Less)
Please list any books that you have authored and provide links to purchase on Amazon.
8-10 Questions For the Interview
Free Gift or Promo for Listeners
Other Important Information that You Would Like Us to Know
Please be aware that the podcast is taped via Zoom.us. You will be provided with a Zoom meeting link once your interview is scheduled. If you are not already a Zoom subscriber, you may need to download the program and create a free membership in order to tape your interview. Please go to Zoom.us and familiarize yourself with the platform in advance of your scheduled podcast taping. It is important to note that we tape both the audio for the podcast as well as the video for the YouTube channel. As such, please be sure to be "camera ready" and to have a background and/or setting that is appropriate and well-lit. If possible, please have a good microphone and headphones for the taping as sound quality is important to a successful taping. If you have any questions regarding your taping please do not hesitate to reach out to us at firstname.lastname@example.org and/or email@example.com.
By submitting this form and participating in the Breaking Free: A Modern Divorce Podcast interview, you agree that Breaking Free Mediation Services, Inc. may record, distribute and disseminate the podcast content, your submitted materials and your contribution in any form or manner. You also agree to allow Breaking Free Mediation Services, Inc. to retain the rights to the produced media for potential future use in presentations, speeches, books, articles and in all other forms of public distribution. You further agree to promote your appearance on Breaking Free: A Modern Divorce Podcast with a minimum of three social media posts on all your relevant social media platforms and at least one email to your mailing list(s).
Thank you and we look forward to having you on our show!
Rebecca & Susan
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