Podcast Guest Submission form

Thank you for joining me on the Safety Simon Says... Podcast!

The focus of this podcast is to help people in the workplace that are new to safety learn and identify principles that will help them be successful in their role in occupational safety.

Please complete the form below to make our discussion on the podcast more successful!

First & Last Name

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Company

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Share a brief biography of yourself! We will use this as your intro and in the show notes.

One interesting thing about your work/business. (Safety struggle or safety accomplishment, or a cool story. We only need the highlights, not every detail. Details can be shared on the podcast)

Please add some questions that would help me bring out the best in you.

Street Address

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City

Region/State/Province

Postal / Zip code

I agree to promote my episode on The Starting with Safety Podcast on my online platforms (social media and websites) and email my list if possible as well. (If you do not agree, we will not be able to have you on our Podcast.)

I understand that this interview will be recorded, possibly edited, and will be published on various online platforms. This recording is then the copyright property of The Starting with Safety Podcast. (If you don't agree, we will not be able to have you on the Podcast.)

We ask guests to Review the Podcast (preferably 5 Stars). The review should be about the podcast not specific to an episode or a guest. I agree to send a screenshot of my review to info@championsafetysolutions.com. You can do this now or after you send in this information.

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Looking forward to talking to you soon!

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