Podcast Guest Form

Have you appeared on the podcast before? *

Yes

No

Personal Information

Name *

Credentials

Phonetic Pronunciation of Your Full Name (if needed)

Company/Organization

Short Bio *

Headshot *

Personal Email *

Daytime Phone Number *

City, State, Country

Personal/Company Website

LinkedIn Profile Link

Additional Social Media Link(s)

Interview Information

Primary Topic - What topic are you MOST interested in discussing? *

Primary Topic - Key Elements

Here, it would be ideal if you could list and outline 3-5 key elements of the primary topic for your interview that you'd like to discuss... as well as any resources/links that would be useful for Mike to research in advance.

Secondary Topic(s) - What additional topic(s) are you interested in discussing?

Secondary Topic(s) - Key Elements

Here, it would be ideal if you could list and outline 3-5 key elements of the primary topic for your interview that you'd like to discuss... as well as any resources/links that would be useful for Mike to research in advance.

Listener Resources

Is there anything else you would like to provide?

Use this part to let us know anything you'd like to mention.

What is your goal for this interview?

Once you press submit, you will see a Calendly Link to reserve a recording date.