Podcast Guest Registration

We are celebrating the 100th EPISODE!

We are excited you are joining us!

100th Episode Live

Date: 10th February 2025
Time: 10 AM PST

Location: Online Zoom
*Please convert to your Time Zone

Thank you for your interest on sharing your message on our Podcast. Please complete the form completely.
We are currently selecting speakers for our 100th live Episode, regular episode will be scheduled after that.
This is a 10 min segment with 7 spots. You will receive an email to confirm your selection for the live episode.

Break Free to Brilliance empowers women entrepreneurs, speakers and coaches to share their stories, amplify their voices, and build lasting authority. Through inspiring conversations and actionable insights, we equip our audience to leverage books, podcasts, and storytelling as tools to grow their visibility, impact, and business success.

First Name *

Last Name *

How did you hear about us?

Google Search

Seema Invited

I'm a listener

Co Author in Our Anthologies

FB Group Speaker Connections

FB Group Podcast Guest Collaboration

FB Group Polka Dot Showcase

If Referred by someone pls list their name in Other box so I can thank them!

Title for your podcast *

Short Bio 50 words max *

Professional Title ex. Life Coach*

Business Name

Phone *

Email *

Website

Facebook ID

Instagram ID

Which social media platform are you most active on? *

Why do you want to be on our podcast? Anthology Authors Write Author Below *

Short Description of Podcast Topic - 100 words, include the links on how you would like to be contacted by listeners. *

Subscribe to our podcast

Listen to episodes to understand the flow of the show, leave a review and let us know below which episode you listened to

Please share upto 4 Questions you would like to be asked. If you are in our Anthology you can skip this

Please provide a high-resolution (HQ-300 dpi) headshot to utilize in the podcast promotional materials *

Would you like to be contacted for speaking and or sponsorship opportunities for our Break Free Summits? Reply with the best email for this below *

Guest Interviews are on Thursdays.
Schedule a time for your interview between 11 AM - 2 PM PST on Calendar link

Uplyft Authors schedule your interview after your book launch. at your specified dates.

Speaker Release Form

Be sure to connect with Seema Giri on social media so you can get notified when your episode is released!

Facebook

Linkedin

Instagram

Type Connected - Once you have sent social media connection requests *

Anything else you would like to add?

I have thoroughly READ & UNDERSTOOD the Speaker Release Form above. By Signing Below I agree to all of its terms and conditions. *

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Sign here

Amplify Your Visibility Even More Written Interview Article & Your Video on YouTube @ Introductory Price of $125 (Value $300)

We have found giving access of your message to your audience in their preferred formats not only increases the recall value to your brand but also increases the value they receive.

Interviews are a great way to increase your visibility, share your message in more detail and grow your email lists.

YouTube adds the visual component for the visual learners. This will be shared across all our platforms (social media & email lists) and will reside permanently on our website www.uplyft.media.

During the year we do various campaigns which will give you additional visibility opportunities at no additional cost. We have found giving access of your message to your audience in their preferred formats not only increases the recall value to your brand but also increases the value they receive.

Answer the following questions in a word doc form:

1. Share why you decided to become an expert in your particular area?

2. What three strenghts do you think has helped you with your success today?

3. Can you share a specific example that reflects what you do?

4. What has been the most profound lesson you have learned since you become the expert in your field?

5. What 3 tips would you give to our readers so that they can level up in this area.

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