Podcast/Interview Request Form Name * First Name Last Name Email * Pronouns Name of podcast/platform/etc? * Website * http:// Who is your audience? * What is the size of your audience? * How long have you been facilitating your platform? * What would you like to interview KJ about and how might that serve your audience? Are you offering reciprocity? (all answers receive equal consideration) * Anything else you want to share? Thank you!