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Podcast Application Form

Sign up to be a guest on my podcast!

Name*
First Last
Your official Business Title*
Email*
What City do you live in/near?*
City
Phone*
Website
The name of your business?*
Handle on Facebook
This is so you can be tagged in promos ex mine is @msamiepederson (Biz) and @amiepederson49 (personal)
Instagram Handle
Attach a headshot/Image youd like used in Promo Graphic*
I have been a coach/biz owner for*
- 0-2 Years
- 2-3 Years
- 4+ Years
I have an email list of*
- 0-500
- 500-1000
- 1000-2000
Please give a brief description of your business and how you overcame self doubt to get started.*
(feel free to add any other challenges you overcame)
Why would you be a good fit for this show?*
What is your true passion in relation to your biz? What is something you just LOVE to share when it comes to making money, and growing a biz as a Mom.*
Are you willing to cross promote and invite your followers to support you and listen to your interview?*
- Yes
- No
If you have a promo Freebie- Include link here
Your Business will be featured, do you have some tips, advice and/or a consumable freebie to offer the viewers? (this could also help grow your list/followers). If so what specifically will you offer?*
(If you read cards would you like to read on air for example)
Is this your full-time career, or is it a side-hustle/startup right now?*
- Full-Time Career
- Side-Hustle/Startup
Check the areas you can or would like to speak about*
(areas that you would consider yourself a subject-matter expert)
- Marketing
- Life as an entrepreneur
- Being a female business owner/in business
- Social media
- Business operations (systems, organization, time management, etc)
- Legal
- Public Relations and Media
- Other
Please give a brief summary on your topic of choice and a few bullet points of content. You may enter multiple topics!*
Now for some fun stuff!

These questions are not required, but help me to get to know you better! Depending on the length of our conversation, I like to end the episode with some fun questions that can relate to my audience and make personal connections.
How would you describe your business in 3 sentences or less?
Give me the story - how did you get into what you do and where you are now?
(Just hit the highlights here - we can talk about it more in length on the call if we need to!)
What do you consider your biggest failure in your current business? What do you consider your biggest success in your business thus far?
What do you struggle with the most being a female creative entrepreneur?
What's the most rewarding part of your career? What's the least rewarding?
What advice/insight would you give to someone at the beginning of their entrepreneurial journey?
If you are full-time, what did your transition from corporate to entrepreneurship look like? If you are not full-time but plan to make the transition, what does your plan look like?
Please let me know if there is anything specific you'd like me to include in your intro other than your title and business name!
(ie awards or achievements, current projects you're working on, random but fun facts!)
Where did you hear about the interview opportunity?
(website, IG, FB, FB group - which group etc)

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