Podcast Interview Application Form — Handing the Shame Back

Name

First Name

Last Name

Contact Phone Number

Country

(###)

###

####

Your Experience

What have you experienced? From what age, and for how long?

Your Healing

How far through your healing are you?

Our Conversation

Can you talk about your CSA without difficulty?

Answering Questions

Do you feel confident answering questions about your trauma?

So you want to be on the ‘Handing the Shame Back’ pod cast series

This podcast application is only open to those who have experienced child sexual abuse and are willing to talk about it.
Please do not bother applying if this is not you. If however you wish to proceed and meet the criterion, please complete the form.

If selected, a pre screening interview will be conducted prior to any interview taking place. This ensures your safety as well as that of the wider audience. You will be notified if you are in this category.

Due to the sheer volume of applicants, not everyone can be chosen. NB. I retain the right to not publish the video if it feels unsafe or unwise for the audience to see it.

If you agree to this, please respond to these questions and we will take it from there.

QUICK EXIT

So you want to be on the ‘Handing the Shame Back’ pod cast series