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The Road Beyond Recovery Podcast

Podcast Interview Guest Form

 

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Question 1 of 8

Which of these answers best describes you?

A

I am not in recovery but have a story of overcoming adversity.

B

I am in recovery and have a story of overcoming an addiction and adversity.

C

I am in recovery and became an entrepreneur as a result of my past and the desire to help others.

D

I am an entrepreneur who can help people start and/or grow their business by the strategies I provide.

E

Other

Question 2 of 8

Please provide a short bio so we can get to know you better. (Please put into third person as these will be used for show notes)

Question 3 of 8

What kind of tips or strategies could you provide my audience to either discover their purpose, start or grow their business or live a great life. 

Question 4 of 8

What are some topics that you are passionate about and love to discuss?

Question 5 of 8

Do you have a workshop or a course that you would like to promote to my audience? If so add the link below. 

Question 6 of 8

Email Address (We will send you the link & graphics prior to airing the episode)

Question 7 of 8

Do you have a website or any social media links you would like to share?

Question 8 of 8

I hereby consent to the recording and distribution of reproduction(s) of the Guest's voice and performance as part of the media program entitled “The Road Beyond Recovery Podcast” This is to confirm that the undersigned has agreed to be interviewed or otherwise participate in the podcast. 

 

As a condition of publication/broadcast and for no monetary compensation I, Tamar Medford request the non-exclusive worldwide rights to reproduce, and distribute, your oral and/or video presentation of the interview. I shall have the right to edit/or transcribe your presentation. 

 

You also grant me the right to use your name, biography and likeness in connection with the program. I hereby consent to the use of my oral and/or video presentation as described and agree with the provisions of this release form. 

A

Yes

B

No

Confirm and Submit