The Outsider Within – Guest Information Form
Thank you for being part of this conversation series exploring the experience of being different, and the songs that have supported us along the way.
I’m looking forward to this conversation.
Please complete the questions below so that I have all I need to prepare for your guest appearance.
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Your full name
This is how I will introduce you in our interview.
(Please include pronunciation if helpful.)
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Please provide a short bio (80-100 words)
in 3rd person.
in 3rd person.
Example: “Jane Smith is a neurodivergent educator and author who…”
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If relevant and comfortable, how do you identify within the “different” or neurodivergent landscape?
Is there anything you would prefer NOT to be asked about?
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What do you wish people would ask you about your lived experience or work?
Please share a few questions that you'd like me to ask you.
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Is there a song that has made you feel seen, understood, or less alone?
Please share the title, artist and a YouTube or Spotify link.
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Share more about your song choice -
What draws you to it?
Is there a particular lyric or moment in the song that holds meaning for you?
(You don’t need to explain everything here. We’ll explore it together in the conversation.)
Is there a particular lyric or moment in the song that holds meaning for you?
(You don’t need to explain everything here. We’ll explore it together in the conversation.)
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Is there anything you would like to share about your current work, offering, or project?
A description, website or preferred link; any affiliate link (if relevant); social media handles you’d like included… You choose!
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What are some key takeaways that you would like our viewers to get from our conversation?
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Is there anything else I should know to make this a great experience for you?
We will be meeting online for a video conversation.
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Do you consent to this interview being recorded and shared on YouTube and related platforms?

Yes
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No
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Would you be open to collaborating beyond
this conversation?
this conversation?
(e.g., Webinars, Events, Guest Blogging, Reciprocating, etc.)

Yes
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No
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