Forbes Feature: Intake Form

Please submit the information below to prepare for your interview for the your Forbes feature. This data is required to ensure accurate citation in the article. Your prompt submission will allow us to move to the scheduling and consent steps quickly.

Your Full Name *

Email *

Could you share your short bio here? *

Your Published Works & Citations *

Could you share your Headshot(s) or other photos that we could use? *

Our session will be recorded and we may share some clips on social media and other marketing channels. Do you give us permission to record the session and agree to the Media Release? *

Yes

Media Release and Consent Form: https://kiria.co/media-release-and-consent-form/

We send occasional newsletters. Would you like us to sign you up to our email list?

Yes, please!

Not at this time.