Tell Me More... - Podcast Guest Application 2022-23

Please Tell Us More About You!

The Tell Me More... podcast brings together people holding a variety of insights, experiences, and opinions for discussions that show how people can disagree without being disagreeable - even about today's most divisive political topics and social issues.

A "courageous conversation" is neither a formal debate nor a Jerry Springer Show free-for-all. It's a respectful, insightful, and sometimes vulnerable discussion in which people who disagree make the effort to really understand each other's positions.

If you'd enjoy participating in such a discussion, we are eager to hear from you. Upon completing this application, Matt Lehrman (producer & host) will be in touch to schedule a brief interview to discuss your interest and answer any questions.

The podcast is recorded via Zoom and once an episode's participants are selected, we'll schedule a mutually convenient time to record.

Question Title

* 1. Please tell us about yourself:

Full Name *

Any Tips to Correctly Pronouncing Your Name?

Personal Pronouns (he/she/they) *

City/Town *

State/Province *

Email Address *

Phone Number *

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* 2. Please share a 2 or 3-sentence bio that can serve as your introduction on the podcast.

Question Title

* 3. To help convene a conversation grounded in principles of equity, diversity, and inclusion, please share something about how you self-identify (i.e., race, ethnicity, age, gender, religion, sexual orientation, gender identity, gender expression, disability, economic status, etc.).

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* 4. Which of these statuses, if any, currently apply to you?

Elected official (i.e., Mayor, Councilmember, etc.)

Appointed official (i.e., Commissioner, Advisory Board Member, etc.)

Employed by a municipality (i.e., town, city, or county) in any capacity

Hired/engaged as an advocate, lobbyist, spokesperson, or attorney

None of the above

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* 5. In general, how would you describe yourself politically? (i.e., progressive, conservative, independent, libertarian, radical, pragmatic, etc.)

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* 6. How interested would you be to take part in a "courageous conversation" on these topics?

	Not Interested	Somewhat Interested	Very Interested
The Trump Presidency	The Trump Presidency Not Interested	The Trump Presidency Somewhat Interested	The Trump Presidency Very Interested
White Supremacy	White Supremacy Not Interested	White Supremacy Somewhat Interested	White Supremacy Very Interested
Drug Addiction	Drug Addiction Not Interested	Drug Addiction Somewhat Interested	Drug Addiction Very Interested
Entrepreneurship	Entrepreneurship Not Interested	Entrepreneurship Somewhat Interested	Entrepreneurship Very Interested
Vaccines	Vaccines Not Interested	Vaccines Somewhat Interested	Vaccines Very Interested
International Relations	International Relations Not Interested	International Relations Somewhat Interested	International Relations Very Interested
Civility	Civility Not Interested	Civility Somewhat Interested	Civility Very Interested
Public Education	Public Education Not Interested	Public Education Somewhat Interested	Public Education Very Interested
Immigration	Immigration Not Interested	Immigration Somewhat Interested	Immigration Very Interested
Animal Rights	Animal Rights Not Interested	Animal Rights Somewhat Interested	Animal Rights Very Interested
Health Care Policy	Health Care Policy Not Interested	Health Care Policy Somewhat Interested	Health Care Policy Very Interested
War in Ukraine	War in Ukraine Not Interested	War in Ukraine Somewhat Interested	War in Ukraine Very Interested
Violence	Violence Not Interested	Violence Somewhat Interested	Violence Very Interested
Gender Inequality/Fair & Equal Pay	Gender Inequality/Fair & Equal Pay Not Interested	Gender Inequality/Fair & Equal Pay Somewhat Interested	Gender Inequality/Fair & Equal Pay Very Interested
Fair Elections	Fair Elections Not Interested	Fair Elections Somewhat Interested	Fair Elections Very Interested
Gun Policy	Gun Policy Not Interested	Gun Policy Somewhat Interested	Gun Policy Very Interested
Abortion	Abortion Not Interested	Abortion Somewhat Interested	Abortion Very Interested
Climate Change	Climate Change Not Interested	Climate Change Somewhat Interested	Climate Change Very Interested
Diversity, Equity & Inclusion	Diversity, Equity & Inclusion Not Interested	Diversity, Equity & Inclusion Somewhat Interested	Diversity, Equity & Inclusion Very Interested
Racial Justice	Racial Justice Not Interested	Racial Justice Somewhat Interested	Racial Justice Very Interested
Hyper-partisanship	Hyper-partisanship Not Interested	Hyper-partisanship Somewhat Interested	Hyper-partisanship Very Interested
Student Debt Crisis	Student Debt Crisis Not Interested	Student Debt Crisis Somewhat Interested	Student Debt Crisis Very Interested

Very Interested in Something Else? Tell us more!

Tell Me More... - Podcast Guest Application 2022-23

Please Tell Us More About You!

Question Title

* 1. Please tell us about yourself:

Question Title

* 2. Please share a 2 or 3-sentence bio that can serve as your introduction on the podcast.

Question Title

* 3. To help convene a conversation grounded in principles of equity, diversity, and inclusion, please share something about how you self-identify (i.e., race, ethnicity, age, gender, religion, sexual orientation, gender identity, gender expression, disability, economic status, etc.).

Question Title

* 4. Which of these statuses, if any, currently apply to you?

Question Title

* 5. In general, how would you describe yourself politically? (i.e., progressive, conservative, independent, libertarian, radical, pragmatic, etc.)

Question Title

* 6. How interested would you be to take part in a "courageous conversation" on these topics?

Question Title

* 7. Please make a strong & specific statement about the point of view you'd bring to a "courageous conversation." (40-word maximum, please.)

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* 8. What is a different or opposing position that someone might have that would spark a meaningful conversation between you?