Business Vitality® Podcast Topic and Release Form

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Thank you for taking time to help us understand your expertise. We review applications monthly and if we find this is a great fit, we will email you times available for recording.

First & Last Name of Guest *

Please share the name and email of the contact that would like to be included on scheduling and publishing information. *

How did you hear of us? *

Please read through all the topics and check off which ones you are able to relate to/talk about during your interview. *

Treats others with respect

Build trust

Listen to different POV with open mind before giving my opinion

Delegate more effectively

Become more decisive

Develop & link team strategy to business strategy

Stand up for what I believe in

Hold other accountable

Present self with confidence

Focus on the critical few issues

Become a better coach and mentor

Match my leadership style to the specific need of others

Present my POV persuasively

Stand up to individuals who undermine teamwork

To create wealth - live on your 25 year old budget

Before making the leap, test small with MVP

Understand better with 5 Why's

Embrace constraints to improve decision making

Invest in yourself first

Break down hard stuff into 3 steps

Capture the voice of the customer

Understanding Customer Experience (CX) and Employee Experience (EX)

Never forget the customer (inside and outside the business)

Plan with the end in mind

Decrease stress with time blocking, calendar management and weekly planning

Fine time with consistent name conventions and automate email filters

Practice self compassion to move from perfectionist to excellence

Create mental space for personal and business growth

Decrease burnout by taking time to recharge

Required

What are 3 potential questions we could ask you that supports greater Business Vitality®? *

Annual Gross Sales (for team managed or business): *

Number of Team Members at Business: *

Number of Team Members managed on your team: *

How can we make this a great experience for you? (Promote a book, special offers, etc.) *

Do you or your business engage with executive coaching? *

To help us promote our work, please share your URLs:

Website: *

LinkedIn: *

YouTube: *

Instagram: *

Facebook: *

X (formerly Twitter): *

Other: *

First & Last Name: (hereinafter "Guest") *

Business Vitality® Podcast Guest Release Form

The above named Guest does hereby consent to the recording and distribution of reproduction(s) of the Guest's voice and performance as part of the media program entitled “Business Vitality®” (herein referred to as the "Program"). This is to confirm that the undersigned has agreed to be interviewed or otherwise participate in the Program, a production of the Business Vitality® podcast.

As a condition of publication/broadcast and for no monetary compensation, the Business Vitality® podcast requests the non-exclusive worldwide rights to reproduce, distribute, and sell your oral and/or video presentation, in whole or in part, in any media, as part of this Program published under the auspices of Business Vitality® and to license these rights to others, in perpetuity. Business Vitality® shall have the right to edit and/or transcribe your presentation. You also grant Business Vitality® the right to use your name, biography and likeness in connection with the Program.

You warrant that your presentation is original with you, that publication/broadcast will not infringe on the rights of others, and that you have full power to grant this license. Should your presentation/broadcast incorporate copyrighted materials of others, you warrant that you have obtained such permission from those parties for publication/broadcast by Business Vitality®, consistent with this Agreement.

If the foregoing terms are satisfactory, please sign and date this agreement below and submit it to the Program coordinator. Execution of this Agreement does not obligate Business Vitality® to publish your presentation or other materials.

I hereby consent to the use of my oral and/or video presentation as described and agree with the provisions of this release form: *

Yes

If you answered yes above, please fill in your first & last name as your signature signing off on this form: *

Today's Date: *

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