First Name *

Last Name *

Phone *

Email *

ABOUT YOU

Brief bio *

Website (put N/A if none)

Social Media Handles

How does your work align with the values of the podcast (holistic wellness, plant-forward living, empowerment, and sustainability)? *

Which topic(s) would you like to discuss on the show? (Give 3 topics of your choice and we will approve 1 to be discussed on the recording day) *

Do you host your own podcast? If so, would you be open to having me as a guest? *

Are you open to sharing the episode with your audience once it’s live? *

Anything else you'd love us to know or any fun facts about you? *

File Upload 1y9t

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF Submit a Photo of you for the creatives of your episode