Podcast Guest Form
Hosted by Dr. Veronica Outlaw
This channel's mission is to host transparent discussions with real people with real life transformations and power testimonies, which will inspire viewers to remove the excuses that prohibit them from making life altering transformations and be empowered to live the unapologetic life they desire and deserve - with No Excuses. Does your story serve as an example that others can overcome their current circumstance. Will your story help educate, encourage, and/or inspire the viewers?
Yes
No
Other
Name
*
First Name
Last Name
Organization
E-mail
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Indicate YOUR time zone.
*
CST (Central)
EST (Eastern)
PST (Pacific)
MST (Mountain)
Other
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Personal Website
Linktr.ee Link
Facebook Link
Instagram Link
LinkedIn Link
Topic(s) you want to discuss.
*
Your Bio: Briefly tell me about YOU.
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Transformation Story: Briefly tell me about your transformation story as it aligns to the topics you want to discuss.
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Why do you want to be on our podcast channel?
*
Please provide a high-resolution headshot to utilize in the podcast promotional materials.
*
Browse Files
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Your episode will be heard across the following video and/or audio platforms on various dates. Please put a mark in the bubble next to any platform you DO NOT wish to have it aired. (*The last four are pending distribution at this time.)
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Facebook (video)
YouTube (video)
Anchor (audio)
Spotify (audio)
Breaker (audio)
Google Podcast (audio)
Pocket Casts (audio)
Radio Public (audio)
*Apple Podcasts (audio)
*Castbox (audio)
*Overcast (audio)
*TuneIn (audio)
How did you hear about us?
*
Host Personal Invite
Google Search
Referred by someone
I'm a listener
YouTube
Anchor or other audio Podcast Platform
Other
Anything you want to add?
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