Soul of An Empath Podcast Peer Interview Form
First Name
Last Name
Email
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Phone
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Company Name
Website
Please provide a short bio for use in our show notes. (This bio will appear as written, please provide the key words that will get you SEO noticed.) * *
Please list 4-5 interview questions. Please give me 4-5 Q’s that you want me to ask you that would help us learn more about you as a person and your business. They can also be questions that will segue into great teaching points. ***Also, if there is anything experiential that you can do with us such as a quick meditation, release of a block, visualization practice, mantra, etc, that would be fantastic!
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Optional Free Gift and Link: If we have an affiliate agreement and link, please use that one for your gift.
When will you Promote Your Interview to your email List and Social Media? *
On the day that it goes "live." *This is preferred.
The same week that it goes "live."
Please tag Tiffany in your social media posts. Thanks.
Please upload your preferred headshot for the social media graphic. *
Do you have ideas or preferences for a title for this episode based on what you want to contribute?
It is also important that you rate and review on Apple Podcast, Spotify, Stitcher and Google.
Yes, I agree to rate and review at least 1 episode on one or more of these podcast platforms for "Soul of An Empath."
How many people do you have in your email list? And Social Media?
Please list your social media links if you want them included in the Show Notes.
HIGHLY PERCEPTIVE PEOPLE ACADEMY LLC INTERVIEW CONSENT & RELEASE By proceeding to schedule and/or participate in an interview to be conducted by Highly Perceptive People Academy (hereinafter “Interviewer”), You Agree that you are over the age of 18, and Consent to the following Terms of Participation, including Release of Liability:
1. Permission to Record / Permission to Use. You, (the “Interviewee”), for good and valuable consideration which is hereby acknowledged, consent to participate in an Interview to be conducted by the Interviewer, and consent to the video, audio, and/or photographic recording and broadcast, including via live-streaming, of said interview. You hereby grant to the Interviewer and Interviewer’s assigns, licensees and successors the right to copy, reproduce, distribute, and otherwise use all or a portion of the video and/or audio recording in any format (the “Recording”) and your statements (the “Interview”) for incorporation in the Interviewer’s work (the “Work”) or for use by Interviewer for any commercial purpose without restriction. You also agree to the use of all or a portion of the Recording and the Interview in all forms and media, including live video and audio streams, audio, video and photographic recordings, transcriptions, including excerpts or segments, or edited or redacted versions of the same. You expressly grant Interviewer the right to capture and use your image, likeness, voice and name in connection with all uses of the Recording and Interview, and waive the right to inspect or approve use of the Recording or Interview as incorporated in the Work or otherwise utilized by Interviewer for any commercial purpose
2. Release. By agreeing to participate in the interview, you discharge and release Interviewer and Interviewer’s agents, representatives, assigns, licensees and successors from any and all claims that may arise regarding the use of the Interview including but not limited to any claims of defamation, invasion of privacy, or infringement of moral rights, rights of publicity or copyright
3. Ownership. You acknowledge that you have no ownership rights in the Recording, the Interview, or the Work (though a copy or copies may be provided to you in the sole discretion of Interviewer, including for you to distribute or share as appropriate and only in accordance with any instructions or information provided by Interviewer and accompanying the Recording, Interview or the Work). You shall retain all original ownership rights in and to your original intellectual property including any copyrighted material utilized or referred to in the Interview
4. No Requirement to Use. Interviewer is not obligated to utilize the rights granted in this Agreement
5. No Joint Venture. You agree that no joint venture, partnership, employment or agency relationship exists between You and Interviewer as a result of the relationship established by this Agreement
6. Governing Law. This Agreement and any action related thereto shall be governed by the laws of the State of California without regard to its choice of law principles. The parties consent to exclusive jurisdiction and venue in federal and state courts sitting in Orange County, CA
I HAVE READ AND UNDERSTAND THIS INTERVIEW CONSENT AND RELEASE AGREEMENT, AND CONSENT TO THE TERMS HEREIN. * "I have read and consent to this agreement."
"I have read and consent to this agreement."
Thank you for being my guest. The audio and video will be made available to you after it's edited. If you have any other questions, please let me know. I will see you in my Zoom Room for the recording.
Can you think of any other entreprenuers who serve empaths that would be a good fit for the show? If so, will you please connect us? Thank you!
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