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Proudly On Record - Guest Application

We're so glad you're interested in sharing your story with us! Proudly On Record is a podcast creating space for queer voices, whether that's your personal journey or insight on topics that matter to the LGBTQ+ community and beyond.

Fill out the form below and tell us a little about yourself and what you'd bring to the conversation. Please note that submitting this form does not guarantee you'll be selected or scheduled as a guest. We review all applications and will reach out if you're a good fit for an upcoming episode.

Are you a member of the LGBTQ+ community?

A
B

If you are NOT part of the LGBTQ+ community, please tell us about your advocacy work and why you feel like you should be on the podcast.

Legal Name

Preferred Name

Email Address

Would you like to appear anonymously?

A
B

If anonymous, what pseudonym would you like to use?

Tell us about yourself

Give us a short bio/introduction that we could use on our show.
Ideas of things to discuss: religious background, charity work/activism, hobbies, pets, kids, partner(s), education, career, etc.

Social Media Information (We will tag/promote your socials! You can put N/A if uninterested)

Select the topic(s) you would like to discuss. Please be mindful on whether it is appropriate for you to speak on the topics you select.

Tell us about your selected topic(s)

Are there any triggering topics you would like us to avoid?

Is there anything else you would like us to know?