IMPORTANT: We need to ensure you have reliable high speed internet. Please go to http://www.dslreports.com/speedtest. DO NOT click on the green "Start Test" button but scroll down and select how you connect to the internet, such as DSL. You will notice DSL highlighted in green, so click on that option or however you connect to the internet. Wait for the test to complete. You will be given a green letter score such as "A" or "B." Please enter the score you were given so we know what your internet quality is. A score of "A+" is best. A score less than "A" may result in connectivity issues. If this link does not work for any reason please use this link and then enter what your rating is: https://speedtest.xfinity.com.

First Name

Last Name

Email Address

Phone (###-###-####)

Business Name or Oganization Affiliated with

Website

List any LinkedIn, academic, profile, or podcast guest pages that would help me learn more about you:

Please explain why you would be an interesting and engaging guest.

List 10 questions you would like to be asked that emphasize your expertise:

What are at least 3 key takeaways you want listeners to know?

Please copy and paste the bio you'd like shown. If you don't have one we'll use a social media profile.

List professional experience / educational credentials you feel are relevant and may NOT be in your bio:

May I record our discussion and use our video and audio podcast interview for online website promotion and social media? Please enter "yes" or "no."