Emerge. Evolve. Lead. Podcast Guest Application

Emerge. Evolve. Lead. A Podcast for People in Recovery

We would love you to be a guest speaker if you want to help inspire people who are ready to step up into leadership positions at work and in the community after doing transformative work on themselves.

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* 1. What is your name?

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* 2. What is your contact information?

Name

Company

Street Address

City/Town

State

ZIP/Postal Code

Country

Email Address

Phone Number

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* 3. What is your sobriety date or how long have you been on the path of recovery?

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* 4. Are you okay with sharing your story of transformation publicly?

Yes

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* 5. In what way do you serve as a leader in life? Check all that apply.

I directly manage or supervise people in my job at work.

I influence people at work without direct authority over them. Such as Project manager or Committee chairperson.

I'm a government leader.

I lead in the community on town or state projects and serve on committees.

I'm on a Board of Directors for a company or non-profit organization.

I'm a trainer or classroom teacher of children or adults.

I'm a mentor or a sponsor.

I'm a therapist or a coach.

I'm an influencer, public speaker and/or author and thought leader.

I'm a parent or step parent.

Other (please specify)

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* 6. Do the people who you work with know that you are in recovery?

Yes

It depends

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* 7. Are you willing to share your perspectives on the following topics? Check all that apply.

Your story, why you decided to get into recovery and what happened?

How you got into leadership and what you've learned?

How has your personality changed after your transformation and what is the biggest thing you've learned about yourself?

What are your thoughts on spirituality?

Emerge. Evolve. Lead. Podcast Guest Application

Emerge. Evolve. Lead. A Podcast for People in Recovery

Question Title

* 1. What is your name?

Question Title

* 2. What is your contact information?

Question Title

* 3. What is your sobriety date or how long have you been on the path of recovery?

Question Title

* 4. Are you okay with sharing your story of transformation publicly?

Question Title

* 5. In what way do you serve as a leader in life? Check all that apply.

Question Title

* 6. Do the people who you work with know that you are in recovery?

Question Title

* 7. Are you willing to share your perspectives on the following topics? Check all that apply.

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* 8. Please provide a short bio and information about how can people reach you?

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* 9. What is the best advice you have for people who are in recovery and ready to step into leadership?