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Interview Request Form
Looking to interview Em for a publication, in-person event, podcast etc? Please fill out this form.
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1
Name
*
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First Name
Last Name
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2
Email
*
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example@example.com
Confirm Your Email Address
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3
What kind of topics do you have in mind for Em to speak about?
*
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4
What platform will this interview be on?
*
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Social Media Livestreams
Publication
Podcast
In-Person Event
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5
Please provide social media links and additional information about this platform.
If you can include the viewership, engagement etc, even better!
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Bold
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Italic
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Underline
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Underline Copy
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Ok
NumberList Copy 2
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quote
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Break
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Image
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6
TERMS: Due to hundreds of requests a month, Em's media calendar is scheduled 2-3 months in advance.
*
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YES
NO
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