Community Catalysts - Guest Questionnaire
Thank you for your willingness to be considered for a Community Catalysts podcast interview. Our goal is to shine a light on real stories of community leadership and the moments of challenge, progress, and insight that can inspire and guide others.

This questionnaire is meant to be quick and informal. No lengthy or polished responses needed. We’re simply looking for enough background about you, your community, and the experiences that have shaped your approach to leadership so we can ask thoughtful questions and have a meaningful conversation together.

Once we receive your response, we’ll follow up about next steps. If we move forward, we’ll schedule your Zoom interview at a time that’s convenient for you.

Looking forward to learning more about you and your work.

The Community Catalysts Podcast is produced by Social Prosperity Partners.
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E-mailadres *
Full Name: *
[OPTIONAL] Pronunciation Tip
City/Town - and State: *
Phone Number: *
What is your current (or most recent) leadership role? *
Tell us about the community or organization you serve and something helpful for listeners to know about its history or current situation. *
Please share a leadership experience from earlier in your journey that really stuck with you—one that shaped how you lead today. *
Tell us about a major challenge or effort that really stretched you as a leader. What did you face, and what did you take away from the experience? Your story here will shape the heart of our conversation and highlight the insight and growth you bring. *
From the experience you just described, what are one or two lessons you believe could help others on their own leadership journey? *
[OPTIONAL] Is there any other leadership experience or lesson we should be sure to ask you about during your interview?
[OPTIONAL] Have you been involved in efforts that required different levels of government or neighboring jurisdictions to work together? If so, we’d love to hear about it. What made that collaboration rewarding or challenging, and what practical lessons might you share from the experience?
[OPTIONAL] Beyond what you’ve already shared, do you have any special experience, insight, or concerns that would be valuable to explore in any of these high-level topics? Check those you’d be open to discussing.
GUEST RELEASE AND CONSENT:  By joining the podcast, you (“Guest”) give the Producer (Social Prosperity Partners) permission to record the conversation and to use your name, likeness, and any material from the interview in any format. This includes using excerpts or quotes in promotional materials, blogs, articles, books, presentations, newsletters, reports, and similar publications—without further approval or compensation.

Guest releases the Producer from any liability related to the interview or its use, confirms they have the authority to enter into this agreement, and agrees to indemnify the Producer against claims arising from a breach of this representation. This release is binding on Guest and their heirs, personal representatives, agents, successors, and assigns. The Producer is not required to publish or broadcast the interview. *
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