Inspiring School Counselors Podcast Form
Thank you for agreeing to share your wisdom and ideas with us, we TRULY appreciate your time and value your input. Please answer any of the following ten questions that resonate with you, and skip any question you wish.

After you complete this form we will contact you to schedule a brief Zoom discussion for the Inspiring School Counselors podcast. We also ask for your consent to use your written  comments for a possible future publication of collective wisdom for school counselors. Deciding not to share your written comments is completely fine, and does not affect your participation in the podcast.

Please direct any questions to Aimee Portteus at aimee@inspiresuccess.org.
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Permission
By clicking YES below, I give permission to Inspire Success to use my podcast recording and any material from this form in future publications and/or broadcasts. Permission includes permanent non-exclusive world rights to archive, preserve, disseminate and promote the material in all formats, including digital/electronic, and will not limit any future publications-including future editions and revisions-by me or others authorized by me.

These rights will in no way restrict republication of the material in any other form by you or by others authorized by you. Full credit will be given to you for any of your material used.

I understand that selecting NO will not impact my participation in the Inspiring School Counselors podcast. If needed, I understand Inspire Success will use the email address provided if a publication is being prepared so I may review.

Inspire Success is a non-profit 501(c)(3) charitable organization focused on helping all students succeed. For questions, please contact Aimee Portteus at aimee@inspiresuccess.org
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