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Podcast Guest Application

Please fill out and submit this form to be considered as a potential guest on the STAP.

Click the button below to submit your interview request by completing our short 3 minutes application. All fields are required.  

Start

Question 1 of 11

First and Last Name

Question 2 of 11

Job Title or Occupation 

Question 3 of 11

Best Email 

Question 4 of 11

Phone

Question 5 of 11

What topics would you like to discuss? What is your area of expertise that would offer value to our listeners? 

Question 6 of 11

Please write out a short bio for yourself in 3rd person. This will be shared as part of your introduction.

Question 7 of 11

Do you have a blog, book, publication, product or service you want to promote? If so, please provide any links you’d like to include for the promotion.

Question 8 of 11

Upload headshot (or logo if anonymous) 

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Question 9 of 11

If you have any platforms that you would like to promote, please include them below. We can link to them in the show notes for your podcast episode.

Question 10 of 11

What is your mailing address? (If you prefer not to share it, please type N/A)

Question 11 of 11

By participating in the interview, you agree to allow The Success Travel Agent Podcast to record, distribute, and disseminate the podcast in any manner. You also agree to allow Will Medina to retain non-exclusive rights to the produced media for potential future use in speeches, books, and in all other public distribution.

(Select all that apply)
A

I Agree

Confirm and Submit