Podcast Guest Application Form Section 1 – About YouName First Last Email PhoneAddress City State / Province / Region Section 2 – Your StoryBrief Summary of Your Recovery StoryPlease share a short overview of your journey (200–300 words).Message or Theme You'd Like to ShareWhat do you hope listeners take away from your episode?Affiliations with Recovery Organizations or Advocacy WorkList any organizations, roles, or advocacy work relevant to your story.Website for Affiliation/Organization Section 3 – Logistics and ConsentAvailability for Recording Weekday Mornings Weekday Afternoons, Weekday Evenings Weekends Consent to Be Recorded and Published I consent I do not consent I consent to being recorded and having my episode published on the Recovery Stories Have Power podcast and its associated platforms
