Straight Talk for a Curvy World
We appreciate your interest in being a guest on our podcast. If you haven't already listened to a few episodes, please do so before filling out the application below.
Phone and/or SKYPE ID
YOUR GOAL for this podcast, if selected?
Is there something you want to promote or communicate? In other words, how do I make this a win for you?
2-3 BULLET POINTS/TOPICS you have personal experience with (either first hand or through a loved one) related to the "messy stuff" we talk about on our show. Things like grief, death, hormones, anxiety, depression, caregiving, terminal illness, suicide... sex, divorce, and dating... losing the money, losing our minds, losing ourselves... other?
SECRETS. Whether technically a "secret" or not, what's something (potentially related to the above, or not) that you've NEVER talked about during ANY publicly broadcast conversation? This is important because our show talks about the things "we don't talk about" and when we (and you) share this with the audience, a major draw, especially if they've heard you before, is that you're sharing something new that they've FOR SURE never heard before. Don't skimp on this if possible, even if it's just a story or anecdote.
When we can say "Me, too!" our experiences are validated. We know we're not alone, we're not the only one and we're not crazy either. This is why we talk about the messy stuff - the stuff we don't talk about - on the show!
Please mark all of the following where you can say, "Me, too!"
Living with Mental Illness
Death of Parent or Child
Past Sexual Trauma (rape/assault/etc)
Had an Affair
Living with Terminal Illness
Lost Custody of Children
Body Image Issues
Open Relationship or Poly
Partner had an Affair
Lost Home or Job
Other (you can tell us more below)
This is your opportunity to share more information about anything you marked in the previous question.
If selected to be a guest on Straight Talk for a Curvy World, I understand I will do so without compensation, nor will I be required to pay a fee to appear. In exchange for my participation, I agree that Curvy World Media and Ann Peck may use, reproduce in all formats, broadcast, repurpose, distrubute and edit all podcasts or intervievws that I have participated, and/or will participate, in with Curvy World Media and/or Ann Peck. In addition, Curvy World Media may have taken, or I may have provided, photographs, video or audio recordings of me. I agree that Curvy World Media and Ann Peck may use, reporduce, broadcast, repurpose, distribute and edit those recordings and images, including but not limited to use in Social Media for promotional purposes.
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