The Divorce and Beyond Podcast
Podcast Guest Profile and Agreement
Assistant's Name and Contact Information
Please Upload Your Headshot for Promotional Materials
Social Media Handles and Number of Followers (LinkedIn, Twitter, Facebook and Instagram)
Number of Contacts on Your Newsletter/Email List
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.
Suggested Interview Topic
8-10 Questions For the Interview
Free Gift or Promo for Listeners
Other Important Information that You Would Like Me 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 email@example.com,
By submitting this form and participating in the Divorce and Beyond Podcast interview, you hereby consent to the recording and distribution of reproduction(s) of the Guest's voice and performance as part of the media program entitled The Learn to Mediate Online Podcast (herein referred to as the "LTMOP"). Guest does hereby acknowledge that Susan E. Guthrie, LLC (“Podcaster”) is the sole owner of all rights in and to the Program, and the recording(s) thereof, for all purposes; and that Podcaster has the unfettered right, among other things, to use, exploit and distribute the Program, and Guest’s performance as embodied therein, together with guest's name, sobriquet, biographical sketch, photograph or likeness (including, without limitation, any photographs or other material provided to Producer by Guest ), in any and all media or formats, throughout the world, in perpetuity. Any materials prepared in the course of the production and distribution of the Program (“Materials”) become property of Podcaster, and Podcaster shall have the sole and exclusive right to use, exploit and distribute such Materials, throughout the world, in perpetuity. Nothing contained in this Podcast Guest Release shall be construed to obligate Podcaster to use or exploit any of the rights granted or acquired by Podcaster, or to make, sell, license, distribute or otherwise exploit the Program or Materials whatsoever. Guest understands and agrees that he/she shall receive no compensation for appearances on and participation in the Program. Guest's name, likeness and photograph may be used in connection with the Program, and in advertising and promotional material for the Program, but not as an endorsement of any product or service. Guest hereby releases and discharges Podcaster from any and all liability arising out of or in connection with the making, producing, reproducing, processing, exhibiting, distributing, publishing, transmitting by any means or otherwise using the above-mentioned production.You further agree to promote your appearance on The Learn to Mediate Online 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 I look forward to having you on the show!
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