Please fill out the form that best describes your needs:
# TEA Firm, LLC & Momentum Media, LLC Podcast Guest Intake Form
Thank you for your interest in being featured on our podcast. Please complete this form as thoroughly as possible so the team can prepare your interview, confirm your segment type, and schedule production efficiently.
Guest Information
**Full Name:** ________________________________________________
**Preferred Name / Stage Name (if different):** ____________________________
**Pronouns (optional):** _______________________________________
**Title / Role:** ______________________________________________
**Business / Brand Name(s):** _____________________________________________
**Additional Business(es), Organization(s), or Project Name(s):** __________________
**Website:** _________________________________________________
**Social Media Handles (Instagram, Facebook, TikTok, YouTube, LinkedIn, etc.):**
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## Contact Information
**Primary Contact Person (if different from guest):** _________________________
**Phone Number:** ____________________________________________
**Email Address:** ____________________________________________
**City / State:** ______________________________________________
**Preferred Method of Contact:**
- [ ] Phone
- [ ] Text Message
## Interview Focus
**What type of interview would you like this to be?**
- [ ] Personal
- [ ] Business
- [ ] Combination of Personal and Business
**Please briefly describe your story, background, or brand:**
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**What services do you provide?**
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**What products do you offer or sell?**
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**What topics would you like to discuss during the interview?**
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**What accomplishments, milestones, awards, or achievements would you like highlighted?**
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## Interview Preparation
**Do you have a current project, launch, campaign, event, or announcement you want to promote?**
- [ ] Yes
- [ ] No
If yes, please describe:
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**Are there any sensitive topics, boundaries, or subjects you do not want discussed?**
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**Do you have a preferred interview date or timeframe?**
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**When is the final product due?**
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**Do you need the interview released by a specific date for promotion, launch, or event timing?**
- [ ] Yes
- [ ] No
If yes, please provide the date and reason:
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## Media & Logistics
**Will you be appearing as:**
- [ ] Individual guest
- [ ] Multiple guests / team interview
**If multiple guests, please list all names and roles:**
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**Will you be available for:**
- [ ] Audio-only interview
- [ ] Video podcast interview
- [ ] Either format
**Do you need to share any promotional materials before recording?**
- [ ] Headshot / photo
- [ ] Logo
- [ ] Bio
- [ ] Product photos
- [ ] Flyers / event graphics
- [ ] Website or booking links
- [ ] Other: ___________________________________
## Additional Details
**Comments / Additional Information:**
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## Internal Use
**Date Received:** ____________________________________________
**Reviewed By:** ______________________________________________
**Interview Status:** __________________________________________
**Recording Date:** ___________________________________________
**Release Date:** _____________________________________________