👋 Welcome!

Thank you so much for your interest in being a guest on [WIP] Podcast! It's all about the messy, real, and unfinished stories of people working across tech.

To keep things smooth and respectful, please fill out this short form. It includes a brief release agreement and a few questions to help me prep for our conversation.

📝 Release Agreement

By submitting this form, you agree to the following:

You consent to being recorded (audio/video) for [WIP].
You allow your voice, name, and shared content to be used in podcast episodes, clips, and promotional material.
You understand the episode may be edited for length/clarity but will honor your message.
You grant permission for distribution across podcast platforms and social media.
You waive the right to approve the final cut before publishing.
If requested, the raw/edited footage can be provided for your own promotion of your episode.

If you have any concerns or boundaries, let’s talk through them!

Name *

Name Pronunciation

Pronouns

Email *

Availability

Social Links

1. What’s something you’re currently learning, unlearning, or figuring out?

2. What’s a story, challenge, or “work in progress” moment you’d be open to sharing?

3. What would you love listeners to take away from our conversation?

4. Is there anything you'd prefer not to talk about?

5. Any fun facts, quirks, or personal tidbits you'd like mentioned in your intro?

I’ve read and agree to the release terms above. *

Additional Notes?

I'm very open to feedback! Please let me know if there are things that can be improved on this form or your intake experience. It's intent is to be helpful for both of us!

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