Podcast Guest Application Contact InfoName(Required) First Last How Long Have You Been Working From Home?(Required)CompanyTitle with CompanyPhone(Required)Email(Required) This field is hidden when viewing the formMailing AddressThis address will only be used to send a post-interview thank you note or gift. Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Personal InfoBio(Required)Three to five sentences that tells us who you are. This is what will be used to introduce you to the podcast audience.Headshot (or best picture of you)This image will be used for promotional purposes, including social media. Please use JPEG or PNG formats.Accepted file types: jpg, jpeg, png, Max. file size: 64 MB.Do you have:(Required)Check all that apply Webcam Microphone Earbuds/headphones None of the Above/What do you suggest? Social MediaPlease fill out as completely as possible. This information will be used to connect you with Marcel and for promoting your episode.Facebook NameFacebook Business PageFacebook Group NameInstagram HandleInstagram Business HandleTwitter HandleLinkedIn URL GiveawayDo you have a giveaway/freebie for listeners? Yes No Please give a brief description of your giveaway or freebieIf it is available online what is the link? Promotional InfoHow will you promote your episode?(Required)I'd like your interview to be successful. Please share how you will help get the word out about your episode when it airs. Check all that apply E-mail Facebook Twitter LinkedIn Instagram Other Specific QuestionsAre there specific questions you would like to be asked during your episode?This field is hidden when viewing the formSponsorship OptionsThis field is hidden when viewing the formSponsorship Choice(Required) Fully Sponsored ($149) Partially Sponsored ($97) I'm interested but I'd like more information Not at this time AgreementTerms of Agreement(Required)By indicating your agreement, you grant permission to Marcel Brown and the Working From Home And Living To Tell About It Podcast to record the interview, post content on the Internet obtained during the interview, and promote the content. Once published, editing will not be possible. I agree to the terms of the podcast interviewPhoneThis field is for validation purposes and should be left unchanged.
