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Beyond the Bells & Battles — Podcast Guest Intake Form

Thank you for your interest in being a guest on , hosted by Dr. Trenice Brinkley! This podcast amplifies the voices of educators, consultants, and leaders who are shifting from burnout to balance, and building lives they love beyond the classroom. Please complete the form below so we can learn more about you and your story.

Full Name

Email Address

Phone Number

Professional Title / Role

Company / Organization (if applicable)

City & State / Country

Website or Portfolio Link

Instagram / LinkedIn / Other Social Media Handles

Short Bio (3–5 sentences)

Headshot Upload

What topic(s) are you most passionate about discussing?

What topic(s) are you most passionate about discussing?
A
B
C
D
E
F
G

Why do you believe you’re a great fit for Beyond the Bells & Battles?

Have you ever been on a podcast before?

Have you ever been on a podcast before?

If yes, please drop the link(s) here: ___________

Any specific offers, books, or businesses you'd like us to mention?

Would you like to offer a freebie or resource to our listeners? If yes, drop the link or description below.

Would you like to offer a freebie or resource to our listeners? If yes, drop the link or description below.

Please confirm you agree to the following:

Please confirm you agree to the following:
A
B

Anything else you'd like us to know?

🎧 Thank you for applying to be a guest on Beyond the Bells & Battles!
We’ll review your application and be in touch if it’s a good fit for the show. In the meantime, be sure to follow @tj.brinkley @thesystemsdoctorofficial and subscribe to the podcast , your story may be the spark another educator needs.