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Pre-screened guest information form

Podcast Appointment Form - Pre-screened (#112)

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First Name

Last Name

Email

Title

Organization

Focus Topic for the Podcast Episode

Please describe how your proposed topic intersects with TraumaWise Pillars and/or Values

Do you have a specific date/window you are hoping to target for promotion?

Yes

No

Do you have a service, product, or event you will promote as part of the podcast?

Yes

No

When and Why?

What is it and how does it intersect with the TraumaWise mission?

Your Bio for the Show Notes

Your Headshot

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Your website

LinkedIn Profile

Instagram Profile

Facebook Profile

What other information would you like us to know for the recording session?

Select Recording Session Date & Time

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  - Our Social Feeds
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Events
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- Contact Us Here
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Account
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The TraumaWise Shop

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