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Podcast Guest Application
The Courage to Change: A Recovery Podcast - Guest Interview Application
Please fill out this application in it's entirety to be considered as a guest on our show.
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Email
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Your email
Full Name
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Your answer
Email Address
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Your answer
Phone Number
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Your answer
Mailing Address (we send end of year gifts!)
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Your answer
Birthday (Month/Day)
Your answer
How did you hear about us?
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Your answer
Occupation / Company
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Your answer
Are you available on either Mondays, Wednesdays or Fridays between the hours of 9am - 2pm PST for a recording session?
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Yes
No
Other
If "no" or "other", what specific days / times are you available? (list all that apply)
Your answer
Why are you interested in becoming a guest on our show?
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Your answer
Tell us a story that says something about you, your use or your recovery? (Please be thorough. This is your opportunity to help us understand what makes your story unique.)
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Your answer
What does recovery mean to you?
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Your answer
What topic/theme would you like to be interviewed about on our podcast?
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Your answer
Do you have anything specific you’d like to promote on our show? (ie. a blog, book, website, product, etc.)
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Your answer
What is your favorite episode/guest and why?
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Your answer
Social Media Handles: (Twitter/Instagram/Facebook/Blog, etc)
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Your answer
Is there anything else you’d like to add?
Your answer
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