Speaker Form - Interview - Savvy Self Growth

Name*

Email*

Website*

Your bio or intro - up to 100 words, with one URL*

Proposed title or topic of your Interview. If you're having trouble deciding, let's brain storm via email. Jot down a few ideas and send them to me.*

Interview Description: At least 100 words, no more than 150 words. Just a tiny few words about our topic, to help me create show notes for my website and social media posts. It also will help you to focus your mind on what to talk about.*

Please list 3 - 5 questions, to serve as a framework for our conversation. We may or may not get to all the questions. The conversation has a life and flow of its own. The questions start us off. We'll have fun regardless!*

At the end of our conversation you'll have a few minutes to mention one of your books, services, or product. Which best describes you?*

I have an affiliate program and would like to promote one of my programs or products from there.
I do not have an affiliate program. I would like to mention my book, service or offer.

Book title, offer or service I'd like to mention.

Please upload your photo and other applicable images (eg book cover, logo, product). A max of 3.*

Drop files here or

Accepted file types: jpg, gif, png, jpeg, Max. file size: 512 MB, Max. files: 3.

If applicable: URL to your affiliate center OR to your book on Amazon / other bookseller site

Thank you again for this opportunity to collaborate! You'll receive a copy of the video and/or audio file. You can use them in any way you'd like. By participating, your recording (and transcript if applicable) may become part of a training program (obvioulsy with attribution). Please select your preference. We appreciate your wisdom either way.*

I GRANT permission for my recorded conversation to be included as part of a training program (with attribution).
I would love this opportunity for an interview and I do not grant permission for it to be used, even with attribution.

For your Info: The interview is conducted via Zoom with video. We both need to be on a good USB (or other) headset. Speaking through the computer speakers and microphone can create an echo on the recording which makes it unusable.*

I have a headset (USB or other) and have used it successfully in other interviews
I don't have a headset (in this case, we'll schedule the interview as soon as you have access to a headset)

To make our time together worthwhile for us both, we agree to share our interview with others who can benefit. That will include a newsletter (if you have one), and at least one social media platform. We agree to share the interview within 2 weeks of recording.*

I agree to share in at least 2 places within 2 weeks of recording.

A few notes about lighting: It's best to have light shining on your face, not from behind. Ie - rather face a window than having it behind you. If you can, switch on lights in your room or have a bedside lamp next to you. Minimize clutter around you, so our viewers can focus on the conversation, rather than on the background. Any questions?

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Speaker Form – Interview

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