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Podcast Application

Hi beautiful Soul. I am a Pregnancy Loss Practitioner, Trauma informed coach, Advocate, Educator & Speaker. 

I'd love to expand the conversation around Pregnancy loss, holistic healing & recovery. 

What you wish you knew?

What possibly you needed in your recovery?

What you have created?

OR what you currently offer to support women in their healing.

 

I look forward to speaking more with you.

 Much Love, Sharna xx

Click the button below to start.

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Question 1 of 13

NAME: Your full name (First and Surname)

Question 2 of 13

Email address 

Question 3 of 13

Your Business name (if applicable)

Question 4 of 13

CONTACT:

A) Social media handles: (LinkedIn, IG, Facebook)

B) Your website (if applicable)

C) Your own podcast if you have one

Question 5 of 13

LOCATION:

A) Where are you located?

B) Your Timezone.

Question 6 of 13

Where did you hear about the podcast?

Question 7 of 13

The Podcast is about Pregnancy loss, healing & recovery. 

(Select all that apply)
A

This has been my experience, I'd love to share it & tips to a fellow mama

B

This hasn't been my experience but I see how my service can aid holistic healing

C

This hasn't been my experience but I have a topic to contribute that will help

Question 8 of 13

TOPIC:

Your topic title OR

What topic would you like to discuss?

(if you want to write more than one)

Question 9 of 13

BIO: Pop in a short Bio for yourself here:

Question 10 of 13

Upload a head shot that you'd like me to use

file_upload
insert_drive_file

Question 11 of 13

Podcast Marketing:

(Some housekeeping)

 

I agree to allow The Institute of Healing through Pregnancy Loss to:

A) Use my headshot for promotional purposes

B) To use my biography for promotional purposes

C) To use the podcast on multiple platforms for promotional purposes

D) I agree that the ownership of the podcast and any content that is produced in connection with the podcast is sole property of Sharna Southan. 
E) I agree to promote my episode with my networks e.g. Social media, Email, Website

 

A

Yes

B

No

Question 12 of 13

Testimonial. After our episode, i'd love to hear your experience. If you are willing to leave a testimonial I will send a link to you.

 

AND I'd love for you to rate the podcast on Apple podcasts too if thats ok. 

 

Much Love, Sharna xx

A

I understand

Question 13 of 13

NEXT STEP: 

1) Once your application is reviewed I will be in touch with times to book our episode. 

2) Make sure you whitelist [email protected]

I look forward to speaking with you.

Sharna xx

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