🔥 Personal + Contact Info

First Name

Last Name

Preferred Name (if different)

Email Address

Phone (in case of emergency or tech issues)

Professional Title or Role

Company/Brand (if applicable)

Website or Social Media Links

Short Bio (100-150 words)

Headshot Upload (or provide download link below)

Upload File(s)

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Headshot Download Link

🎤 Podcast Preparation

Why do you believe this message is especially important for people over 50 right now?

Are there any edgy, countercultural, or myth-busting points of view you plan to bring?

What are 3 key takeaways you want the audience to walk away with?

Do you have a book, product, course, or event you'd like us to mention? If yes, share a link and short description

Is there anything you’d like us to avoid discussing or that we should be sensitive to?

🙌 Logistics + Preferences

Best days/times to record (include time zone)

How should we introduce you on the show? (optional script or talking points)

Any fun or surprising facts about you we can include in our intro or icebreaker questions?

💥 Promotional Support

Will you help share the episode when it goes live?

Yes

Do you have a newsletter, social audience, or community you'd like us to tag or cross-promote with?

Upload any brand assets or promotional materials you'd like us to use

Upload File(s)

Click arrow above to select files. You can upload multiple files.