Tell Me More... - Podcast Guest Application 2023

Please Tell Us More About You!

The Tell Me More... podcast brings together differently opinionated people for "courageous conversations" about today's most divisive political topics and social issues.

Neither a formal debate nor a free-for-all, the "courageous" part of our conversation simply aims for people who disagree to make a sincere effort to question and understand each other's positions.

If you'd enjoy participating in such a dialogue, we are eager to hear from you. Upon completing this application, Matt Lehrman (producer & host) will be in touch to schedule a brief interview to discuss your interest and answer any questions.

The podcast is recorded via Zoom and once an episode's topic and participants are selected, we'll schedule a mutually convenient recording time.

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* 1. Please tell us about yourself:

Full Name *

Any Tips to Correctly Pronounce Your Name?

Personal Pronouns (he/she/they) *

City/Town *

State/Province *

Email Address *

Phone Number *

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* 2. Who is your employer and what is your job title? (This is a screening question only; neither your employer nor your position need be mentioned in the podcast.)

Employer Name

Job Title

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* 3. To help convene a conversation grounded in principles of equity, diversity, and inclusion, please share something about how you self-identify, (i.e., race, ethnicity, age, gender, religion, sexual orientation, gender identity, gender expression, disability, economic status, etc.).

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* 4. Which of these statuses, if any, currently apply to you?

Elected official (i.e., Mayor, Councilmember, etc.)

Appointed official (i.e., Commissioner, Advisory Board Member, etc.)

Employed by a municipality (i.e., town, city, or county) in any capacity

Hired/engaged as an advocate, lobbyist, spokesperson, or attorney

None of the above

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* 5. Are you an author, speaker, or recognized authority? If so, please tell us about your area of expertise.

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* 6. In general, how would you describe yourself politically? (i.e., progressive, conservative, independent, moderate, libertarian, radical, apolitical, pragmatic, etc.)

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* 7. How interested would you be to take part in a "courageous conversation" on any of these topics?

	Not Interested	Somewhat Interested	Very Interested	Extremely Interested
Unemployment and workforce issues	Unemployment and workforce issues Not Interested	Unemployment and workforce issues Somewhat Interested	Unemployment and workforce issues Very Interested	Unemployment and workforce issues Extremely Interested
Foreign Affairs: Europe	Foreign Affairs: Europe Not Interested	Foreign Affairs: Europe Somewhat Interested	Foreign Affairs: Europe Very Interested	Foreign Affairs: Europe Extremely Interested
Immigration	Immigration Not Interested	Immigration Somewhat Interested	Immigration Very Interested	Immigration Extremely Interested
Opioid or drug addiction	Opioid or drug addiction Not Interested	Opioid or drug addiction Somewhat Interested	Opioid or drug addiction Very Interested	Opioid or drug addiction Extremely Interested
Race and racism	Race and racism Not Interested	Race and racism Somewhat Interested	Race and racism Very Interested	Race and racism Extremely Interested
Animal Welfare	Animal Welfare Not Interested	Animal Welfare Somewhat Interested	Animal Welfare Very Interested	Animal Welfare Extremely Interested
Abortion	Abortion Not Interested	Abortion Somewhat Interested	Abortion Very Interested	Abortion Extremely Interested
Political extremism & polarization	Political extremism & polarization Not Interested	Political extremism & polarization Somewhat Interested	Political extremism & polarization Very Interested	Political extremism & polarization Extremely Interested
Taxes	Taxes Not Interested	Taxes Somewhat Interested	Taxes Very Interested	Taxes Extremely Interested
Education	Education Not Interested	Education Somewhat Interested	Education Very Interested	Education Extremely Interested
Inflation/Recession	Inflation/Recession Not Interested	Inflation/Recession Somewhat Interested	Inflation/Recession Very Interested	Inflation/Recession Extremely Interested
Wealth inequality	Wealth inequality Not Interested	Wealth inequality Somewhat Interested	Wealth inequality Very Interested	Wealth inequality Extremely Interested
Election security or fraud	Election security or fraud Not Interested	Election security or fraud Somewhat Interested	Election security or fraud Very Interested	Election security or fraud Extremely Interested
Healthcare	Healthcare Not Interested	Healthcare Somewhat Interested	Healthcare Very Interested	Healthcare Extremely Interested
Foreign Affairs: Russia	Foreign Affairs: Russia Not Interested	Foreign Affairs: Russia Somewhat Interested	Foreign Affairs: Russia Very Interested	Foreign Affairs: Russia Extremely Interested
Government budget and debt	Government budget and debt Not Interested	Government budget and debt Somewhat Interested	Government budget and debt Very Interested	Government budget and debt Extremely Interested
Crime or gun violence	Crime or gun violence Not Interested	Crime or gun violence Somewhat Interested	Crime or gun violence Very Interested	Crime or gun violence Extremely Interested
Economic inequality	Economic inequality Not Interested	Economic inequality Somewhat Interested	Economic inequality Very Interested	Economic inequality Extremely Interested
Climate change	Climate change Not Interested	Climate change Somewhat Interested	Climate change Very Interested	Climate change Extremely Interested
Foreign Affairs: China	Foreign Affairs: China Not Interested	Foreign Affairs: China Somewhat Interested	Foreign Affairs: China Very Interested	Foreign Affairs: China Extremely Interested
Diversity and inclusion	Diversity and inclusion Not Interested	Diversity and inclusion Somewhat Interested	Diversity and inclusion Very Interested	Diversity and inclusion Extremely Interested

Very Interested in Something Else? Tell us more!

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* 8. Please help us appreciate the distinct perspective you'd bring to the podcast by making a strong & specific statement about the core values that inform your views on political and social issues. (40-word maximum, please.)