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Be Our Next Podcast Guest

Thanks for inquiring about being a guest! Effective Cannabis Conversations will be conducted through a prerecorded Zoom meeting. Your recorded interview will be branded to Effective Cannabis. Once the episode is live, you will receive links to access your interview and an episode graphic. You may also request a raw (unbranded) video of your presentation for your use. 

As part of social media promotion, we ask you to engage with our respective audiences during pre and post-marketing.

Please note: you can't go back and you can't save this form. Please have all your information handy, including social media links, bio and photo. Make sure you are happy with each entry before moving forward.

Click the button below to start.

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Question 1 of 17

Your FULL Name, including professional titles, as you want it viewed on graphics.

 

    Question 2 of 17

    Your email

      Question 3 of 17

      Phone Number 

      Note: We will only text or call if we have not been able to reach you by email.

        Question 4 of 17

        Please Select one

        A

        Medical Cannabis Patient

        B

        Certified Cannabis Coach/Educator

        C

        Medical Cannabis Provider

        D

        Medical Cannabis Business

        E

        Cannabis Scientist / Researcher

        F

        Other

        Question 5 of 17

        Please choose 3 days where you could be best scheduled.

        (Select all that apply)
        A

        Tuesday

        B

        Wednesday

        C

        Thursday

        D

        Friday

        E

        Saturday

        Question 6 of 17

        COMPANY Name (indicate if you want company representation in lieu of individual)

          Question 7 of 17

          Social Handles (please indicate platform)

          note: Effective Cannabis and Effective Cannabis Newsletter are NOT on Twitter.

            Question 8 of 17

            Provide a brief three or four-sentence bio to appear with your content

              Question 9 of 17

              Please provide what time zone you're in so we can coordinate our schedules.

                Question 10 of 17

                Please provide a BRIEF business description ( 100 characters)

                  Question 11 of 17

                  Upload Your Professional Portrait

                  (must be at least 1400x1400 px)

                  file_upload
                  insert_drive_file

                  Question 12 of 17

                  I agree to notify Effective Cannabis IMMEDIATELY if an emergency should prevent me from participating as scheduled.

                  A

                  Yes

                  B

                  No

                  Question 13 of 17

                  I grant Effective Cannabis a royalty-free license to use, reproduce and distribute my recorded interview (ex. website, email, social media, video publishing and podcast platforms, multi-media publication leading up to episode air date). I understand that this license does not change the fact that I retain copyright ownership of my interview and does not prohibit me from using my presentation in any way or from allowing others to access or use it.

                  A

                  Yes

                  B

                  No

                  Question 14 of 17

                  To the best of my knowledge, my interview does not violate any proprietary or personal rights of others (including any copyright, trademark and privacy rights), is factually accurate, and contains nothing defamatory or otherwise unlawful. I have the full authority to enter into this agreement and have obtained all necessary permissions or licenses from any individuals or organizations whose material is included or used in my interview.

                  A

                  Yes

                  B

                  No

                  Question 15 of 17

                  I authorize Effective Cannabis and Effective Cannabis Newsletter to use my name, photo, and/or biography in connection with the use and promotion of the interview including but not limited to:

                   

                  WEBSITE: https://effectivecannabis.com

                   

                  WEBSITE: https://effectivenewsletter.com

                   

                  LINKEDIN: https://www.linkedin.com/company/ecnewsletter/

                   

                  LINKEDIN: https://www.linkedin.com/company/effective-cannabis

                   

                  INSTAGRAM: https://www.instagram.com/Eccollaboration

                   

                  INSTAGRAM: https://www.instagram.com/ecnewsletter

                   

                  YOUTUBE: https://www.youtube.com/@effectivecannabis 

                   

                  PODBEAN: https://effectivecannabis.podbean.com

                   

                   

                   

                  A

                  Yes

                  B

                  No

                  Question 16 of 17

                  Questions you would like Effective Cannabis Hosts to ask in your interview. *If none, we will provide a list of topics to discuss. The list will be made available to you pre-interview for your review and preparation. 

                   

                    Question 17 of 17

                    Comments

                      Confirm and Submit