Quantum Identity - Guest Application
Welcome to Quantum Identity! We'll be exploring how the THE OLD YOU transformed into the NEW YOU. Please fill out the form below so we can get a good sense of who you are, what you do, and of course....what is your transformational story.

We're looking for vulnerability and humanity. People who are prepared to go to those dark places and inspire us with how they found the light. We want to know what you did to overcome your life challenges to 'quantum leap" into the person you are today.

For an example of the podcast and an idea of what to expect, check out: https://francisrodino.com/quantumidentity

Email address *
Name: *
Location and time zone? *
Who are you? *
How would you introduce yourself to a new audience in 30 seconds MAX?
What’s your big transformation story? *
And what did it take to get to where you are today?
What is your life mission? *
Who have you transformed FROM? *
Who was the person you used to be? What were you like before you transformed into someone new?
Who have you transformed IN TO? *
Who are you now?
What do you do and who do you serve? *
How do you deliver your service? *
What does it consist of?
What are you most proud of in your life? *
What do you want to share most with our listeners? *
What point do you want to make?
What do you want people to know or do after listening to you? *
What is your "Call To Action"?
What is your biggest challenge or problem right now? *
Like if I had a magic wand, what would you make happen right now?
Website URL
Where in the world did you find out about Quantum Identity? *
Social Media Profiles
Please record your 1-minute Selfie Video Introduction Link (YouTube unlisted video please) *
Briefly tell us about yourself and why you want to share your story. This is not mandatory, but will go LONG WAY!
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