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Business Resources

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1Application

2Media Release

3Podcast Release

First Name*

Last Name*

Email*

Phone*

Company Name*

Website

Business Background

How long has the business been operating?*

What inspired you to start this business?*

Briefly describe your business and the products/services you offer.*

Challenges Faced

What are the current struggles and challenges your business is facing?*

How have these challenges impacted your business and personal life?*

Financial Overview

What is the current financial state of your business?*

Are there any specific financial difficulties or debts you are dealing with?*

Turnaround Goals

What are your main objectives for turning your business around?*

How do you envision your business after it's been successfully turned around?*

Efforts Made So Far

What strategies have you tried to address the challenges so far?*

What results have you achieved with these efforts?*

Why "Have a Seat"?

What made you interested in being a guest on our podcast?*

How do you believe the podcast can help your business?*

Personal Story

Share a bit about your background and your journey as a small business owner.*

What drives you to keep going despite the challenges?*

Support System

Do you have a team or any support system helping you with the business?*

How has your family and friends reacted to your entrepreneurial journey?*

Anonymity & Publication Preferences

Would you prefer to remain anonymous on the podcast?

Yes, I would prefer to remain completely anonymous.

I'm open to sharing my story anonymously or with my business name, but not my personal name.

No, I'm comfortable sharing my full name and business details on the podcast.

Additional Information

Is there anything else you'd like us to know about you or your business?*

How would you prefer to be contacted regarding your application status?

Email: Please contact me via email for updates on my application status.

Phone Call: I prefer to receive updates on my application status through a phone call.

Text Message: Please send me updates on my application status via text message.

No Preference: I don't have a specific preference for how I receive updates on my application status. Any method is fine.

Media Release Consent*

I hereby grant permission for the use of my name, business name (if provided), images, and audio recordings for promotional purposes related to the "Have a Seat" podcast.

By checking the above box, you acknowledge and agree that you have read and understood the terms of this media release. You authorize the use of your name, business name (if provided), images, and audio recordings, which may be captured during the podcast interview, for promotional purposes by the "Have a Seat" podcast and its affiliated entities. This may include, but is not limited to, promotional materials, website content, social media posts, advertisements, and any other forms of media related to the podcast.

You understand that once you have provided consent, the podcast and its affiliated entities may use the aforementioned materials without further seeking additional permission. However, it is important to note that your personal contact information, such as email address and phone number, will not be shared publicly and will be kept confidential.

Your participation is entirely voluntary, and you have the right to decline this media release consent without any negative impact on your eligibility to be a guest on the "Have a Seat" podcast. If you wish to withdraw your consent after the podcast episode has been published, please contact us, and we will make reasonable efforts to remove your information from future promotional materials.

By granting this media release consent, you release the "Have a Seat" podcast and its affiliated entities from any claims, demands, or liabilities arising out of or in connection with the use of your name, business name (if provided), images, and audio recordings for promotional purposes.

Please read this media release carefully before checking the box. If you have any questions or concerns about this consent, please reach out to us for clarification.

Consent for Participation and Public Availability*

I hereby give my voluntary consent to participate as a guest on the "Have a Seat" podcast.

By expressly and knowingly affixing my mark to the aforementioned checkbox, I do hereby attest, acknowledge, and unequivocally affirm that I willingly and of my own volition agree to impart my narrative, experiences, and testimonial as a guest on the aforementioned "Have a Seat" podcast. I am cognizant that the podcast in question shall be made accessible and disseminated to a wide-ranging audience, encompassing members of the public, and may encompass the disclosure of sensitive and personal information germane to my embattled small business. In granting my irrevocable authorization, I do hereby bestow my unreserved consent for the utilization of my given name, resonant voice, business designation (if disclosed), pictorial representations, and any ancillary content expounded during the course of said podcast recording to be utilized for promotional purposes, in diverse mediums, and disseminated to the general populace.

I am fully cognizant that, once the podcast episode featuring my narrative is publicly disseminated, the feasibility of retracing, recalling, or retracting the dissemination of said content may prove arduous, if not unattainable. Notwithstanding, in full knowledge of the potential ramifications, I willingly offer my assent to partake in the aforesaid podcast and to afford my account the honor of being shared, cognizant that such dissemination will encompass the public domain.