Powerful U Interview Submission Form
Fill out this form to be considered for an interview on the Powerful U Vodcast! You must be able to travel to our offices in Centerville, UT, or be able to Skype into a call. We cannot provide assistance for travel. Entering does not guarantee a spot. Your submission will be private and will not be shared with anyone.
Email address *
Video Submission (optional)
If you would like, you can submit a video 3 to 5 minutes in length as your submission. Please talk about the questions below. If you would like to do a text submission, skip to the next section. Either submit a video, or fill out the questions below.
Video Upload
or Submit a Link
Name *
Phone number *
Please share a short biography of yourself. *
What early childhood event or series of events had the most impact on you, and why?
How did these experiences shape or impact your life moving forward?
How do you perceive (view) the world around you today?
Why do you want to share your story?
How do you envision your story helping others?
What do you want to learn or get out of this?
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