Name *

As you'd like it to appear in the episode title/graphics

First Name

Last Name

Phone

If you prefer text communications for scheduling

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Do you have access to the following tools? *

I prefer to do video interviews, however, if you don't have access to a camera, please do not select webcam below.

Microphone

Headphones

Webcam

Permission to Record & Distribute *

By submitting this form, you give permission for the recording of our conversation to be edited, published, and distributed across podcast platforms and social channels.

I agree