Application to be a Podcast Guest

Apply to be a guest on future episodes of the Orpheus Podcast with April Adams. Receive a session with her on the air, and move on from whatever has been blocking your peace.
Sign in to Google to save your progress. Learn more
Email *
IMPORTANT: Before we begin, if you are invited to be a guest, this is what you’ll need to know.        1. You’ll need to download Zoom. (Either the app or the website download at zoom.com) as this is where we meet/record our call.                                2. You’ll need earbuds or headphones so you can be heard clearly in the recording.            3. I will send you a brief instructional video to watch prior to our call so you'll be familiar with how to use the tools on the show.      *
Required
Your Name (will not be disclosed on the air unless you approve it) *
What Name Would You Like To Go By On The Show? (If you feel a fake name is absolutely necessary)
Brief Bio: When I introduce you on the show, what would you like people to know as background?(What you do for work, your age, marital status, kids, anything else you feel is important) *
I am 18 years or older *
Required
In one paragraph, please describe the specific issue* you'd like to deal with in your session. (One issue per guest, please.) *
***I cannot help with generalized anxiety in one episode. The key is to deal with several of the individual triggers to break down the wall of anxiety as much as possible. So please list one specific trigger or trauma you wish to work on, rather than anxiety or depression in general. Thank you!
I give permission my voice to be used in this audio podcast and for promotional purposes of the podcast *
I give consent to be recorded on audio and video *
(Optional) I give permission for the video of my session to be aired on YouTube or other social media platforms. (this will not affect your application status.) *
I will also be available for a brief follow up recording 1-4 weeks after the initial session to share results. *
Required
I understand that this application does not guarantee I will be interviewed for the show. *
Required
I release April Adams and Orpheus Mind Technologies from any liability related to the advice or services provided. *
Required
I understand that April Adams is not a doctor or psychiatrist and that the advice given in the session is not meant to replace medical advice. *
Required
Make sure to scroll to the bottom and click SUBMIT or your entry won’t be seen!
Thank you. Here’s what to do next.

If your application is accepted, you will receive an email with further instructions.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy