Podcast Guest Application

First Name*
Last Name
Business Name

Organizational Strengths

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Organizational Contributions

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How can others be part of what you're doing?

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Please choose your preferred option for our interview (online or on-location)

Select "on-location" if any of the following apply:
- You have a project that you'd like to have documented visually for our YouTube channel
- You have an unstable internet connection
- You're located in Perez Zeledon and have a quiet and visually pleasing environment for us to record in.

In-person visits located more than an hour outside of Perez Zeledon will have to be coordinated with my seasonal travel schedule.

 Video Call

In-Person Visit

Not Sure

Is it okay for Regeneration Nation Costa Rica to contact you regarding future promotions or updates to the podcast?

 Yes (Your information will not be shared with any third parties.)

 No (I don’t want to be kept informed of future developments with Regeneration Nation Costa Rica.)

Comments or Question?

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