The Rural Leaders Podcast, Guest Questionnaire Please tell us a little bit about you so we can have the best possible show! Full Name(Required) Name and Title Please provide the name and title you would like on your show graphicsPhone number Please provide a number we can reach you at during the recording of the showEmail(Required) Date you will be on the show Please upload a head shot for marketingAccepted file types: jpg, gif, png, pdf, Max. file size: 512 MB.What was the catalyst for the change initiated?What is the level of impact of your initiative?What’s the ideal takeaway from our conversation?What is the main point you would like viewers/listeners to take from your time on the show?What’s out of bounds for our conversation?Are there any topics you would prefer not to discuss? Where do you want to drive traffic?Please list social media handles and web sites you would like to draw people's attention to? (please include links) Δ
