The Amazing Clarks - Interest Form
Thanks for your interest on being a part of The Amazing Clarks Podcast. Please note: The Amazing Clarks record Fridays from 9am-11am PST. If you are not available at that time, please do not submit a form. Please answer the following screening questions truthfully. We will respond to you within three business days.
Sign in to Google to save your progress. Learn more
Email *
What is your name, and what are your pronouns? *
Ex: Krystal - she/hers.
What is your email address? *
Why do you want to speak with The Amazing Clarks? *
Have you sought counseling/coaching before? *
The Amazing Clarks are going to be honest, sometimes brutally so. Are you okay with that? *
Are you religious? *
If yes, are you open to ideas outside of the scope of your religion?
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Black Love. Report Abuse