Found on your favorite providers

Be a Guest on my Podcast..

Entrepreneurs with tips and tricks about productivity, work-life balance, and technology welcomed

Thought Leaders with "Tenacity" and Resilience Stories and Resources

Authors and Speakers who motivate and inspire others in their journey

Technology Therapist™ Podcast Guest Application Form

First Name *

Last Name *

Please write out the phonetic pronunciation of your full name (see example in placeholder) *

Phone *

Email *

Website *

About Your Business *

Why do you want to be on the Technology Therapist™ Podcast? *

Please share any past speaking engagement links I can review

What is the link to sign up as an affiliate for your program or offer? *

Title of your Main Topic you would like to be interviewed about *

Which area(s) are your primary topic best aligned with? *

Life's Passion

Mindset and/or Meditation

Automation and Technology

Delegation and VA Services

Productivity Hacks

Self-Care and Personal Development

Mental Health Issues

Social Issues and Stigmas

Relationships and Collaboration

Top 3 Bullet Points about your Main Topic *

Bullet One
Bullet Two
Bullet Three

Do you have a current Podcast *

Yes

No

I used to have one

I am working on one now

What is the full link to your podcast (so I can follow you). Example in placeholder

Your Social Media Links (Please list your full URL of each, including https and www) *

Facebook
Instagram
LinkedIn
Pinterest
Twitter

How many are you connected to in each below: *

Email List Subscribers
Facebook Business Link Followers
Instagram Followers
LinkedIn Connections
Pinterest Followers
Twitter Followers
Other Followers (not included above)

Referral *

What is your biggest struggle with technology? *

What is your biggest struggle with productivity? *

What is your question for the Technology Therapist™? *

Upload the following items with your Application:

Upload above requested items here: *

Upload any files we will need to complete your task. - .pdf, .docx, .doc, .jpeg, .jpg, .png, .gif, .xlsx, .xls, .csv

Comments or Questions

I understand application does not automatically guarantee appearance on the podcast, but does place me in queue to discuss appearance with Stacy and/or her team.

Earnings Disclaimer: I have read, understand, and agree to earnings and income disclaimers at https://www.stacybraiuca.com/earnings *

Yes

Terms: I have read, understand, and agree to terms and conditions at https://www.stacybraiuca.com/terms *

Yes

Privacy: I have read, understand, and agree to privacy policies at https://www.stacybraiuca.com/privacy *

Yes

I agree to receiving text and email communications *

Yes

No

Signature *

Clear