Podcast Guest Application Form

Thank you for your interest in being a guest on our podcast. Please fill out this form and we'll reach out to you via email if we think you'd be great for an upcoming episode.

Name*
First Last
Email*
Business Website*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

We might just send you a nice little thank you gift 🙂
Preferred social media profile URL*
Your BRIEF bio (max 4 sentences please):*
List 2-3 uncommon processes or strategies you have used to grow your business that would make interesting topics for our listeners. i.e. What have you done that you can teach other startup business owners?*
Alternatively, share a personal shift or perspective that you went through that created a significant impact on your business results
Is there a specific product/service/event you'd like to promote during the show?*

E.g. a new book or product launch, campaign, celebration, etc. (if none, say N/A)
Please provide a high-resolution headshot to utilize in the podcast promotional materials.*
- I'll provide a download link
- I've emailed the photo to [email protected]
We'll be using the image for promoting your episode.
Link to high resolution profile photo/headshot
Are you happy to share your Podcast interview with your audience (email list, social media) when it airs?*
- Yes
- No
We'd love your support to get your episode out to as many people as possible!
Media/Audio release I hereby voluntarily and without compensation authorize voice recording(s) to be made of me. I hereby give permission to Bean Ninjas to use, reproduce, and distribute the voice recordings, including my name and submitted photo(s). I hereby agree to release Bean Ninjas from any claims, damages or liability arising out of such use or distribution. I understand that the use of my name, likeness, and voice recordings will be primarily for the purposes of commercial use, education and/or promotion by this organization. I have read and understand the foregoing and I consent to the use of my picture and/or voice as specified for the above-described purpose(s). I further understand that no royalty, fee or other compensation of any character shall become payable to me.
Consent - Media Release*
I agree to the above media/audio release
Consent - Privacy*
I grant Bean Ninjas permission to collect and store my data as per the BN Privacy Policy
https://beanninjas.com/privacy-policy/