Growing Up Fundie - Potential Guest Form
If you have a guest in mind for the podcast, or would like to be a guest yourself, please fill out this form for consideration. Thank you!
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Email *
What is your preferred name, nickname, screen name, or pseudonym?
(Feel free to indicate if you want one name used in our  communication, and another used on the episode.
Ex: in emails you are "Andy Johnson" but on the podcast you are "Tommy601" or "Allen," etc.)
*
Is this form nominating yourself, or someone else? *
If this form is nominating someone else, how should they be contacted? *
How do you/they currently identify? (Check all that apply)
Are you/they a former or current member of a specific religion, cult, or denomination? If so, which one? *
Please Specify Below *
If nominating yourself, what is your preferred email, time zone, and your preferred pronouns? (If nominating someone else, you can just list whatever you know of them, or "unsure.") *
If nominating yourself, what days of the week/times during those days would work best for you if selected to film a one-hour Zoom interview? 
(Please specify your time zone)

If nominating someone else, write "not applicable."
*
If selected to appear on the podcast, do you consent to having your interview audio and video recorded, with the audio used on all platforms where "Growing Up Fundie" content appears (podcasts, YouTube, Facebook page, the podcast's website etc.) *
Would you prefer to use a pseudonym or alternate identity if you are selected to appear on the podcast? *
If using your real name, would you like to be tagged in the promos on social media? Or would you prefer to remain untagged/ have your personal social media accounts unconnected to your episode? *
How did you find out about this web form? *
If a former guest recommended this podcast, who was it? (Write N/A if not) *
Please paste or write anything you'd like included in the show notes, should you be selected for an episode:
- Website
- Social media handles
- YouTube channel
- Links to videos you have made, or appear in.
- Academic research you've published, etc.
(Write N/A if none of this applies to you)
*
If you have a YouTube channel, would you have an interest in joining a GUF livestream sometime in the future?
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Any additional notes, questions for Sydney, or details you feel would be important for an interview?
Submit
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