1 Personal Info 2 Social Media 3 Your Pitch 4 Submit Step 1 of 4 — Personal Information Full Legal Name * Email Address * Phone Number * Mailing Address Street Address * Street Address Line 2 City * Country * —Please choose an option—— Select Country —United StatesCanadaUnited KingdomIrelandAustraliaNew ZealandGermanyNetherlandsSouth AfricaOther State * —Please choose an option—— Select State —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingAmerican SamoaGuamNorthern Mariana IslandsPuerto RicoU.S. Virgin Islands Province / Territory * —Please choose an option—— Select Province —AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandSaskatchewanYukon State / Territory * —Please choose an option—— Select State —Australian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia County / Region State / Province / Region ZIP / Postal Code * Next: Social Media → Step 2 of 4 — Social Media & Online Presence Provide at least one social media profile URL. For each platform you use, include your approximate follower/subscriber count. Facebook Followers Twitter / X Followers Twitch Followers YouTube Subscribers Instagram Followers LinkedIn Connections TikTok Followers Personal Website / Blog Monthly Visitors Other Platform (specify) Followers ⚠ Please provide at least one social media profile URL to continue. ← Back Next: Your Pitch → Step 3 of 4 — Your Pitch Why I Want to Be on Debugged with Patrick Bass * Tell us why you'd be a great guest. What unique perspective, expertise, or story can you bring to the show? What topics would you like to discuss? 3000 characters remaining How Did You Hear About Us? * —Please choose an option—— Select one —Web SearchSocial MediaFriend or ColleagueAnother PodcastYouTubeBlog or ArticleConference or EventPrevious Guest ReferralOther If "Other," please specify: Special Requests or Notes Anything you need us to know — scheduling constraints, accessibility needs, technical requirements, preferred recording times, topics you will not discuss, etc. Upload Supporting Materials (Optional) You may attach a bio, headshot, media kit, book excerpt, published article, or other relevant document. Accepted formats: PDF, DOC, DOCX, JPG, PNG, MP3. Max file size: 5 MB. ← Back Next: Review & Submit → Step 4 of 4 — Agreement & Submission By submitting this application, you agree to the following: The information provided is truthful and accurate to the best of your knowledge. If selected as a guest, you will be required to execute a Podcast Guest Talent Release & Rights Assignment prior to recording, which grants Vanguard Media LLC (producer of "Debugged with Patrick Bass") rights to the recorded content. Submission of this application does not guarantee a guest appearance. The production team reviews all applications and will contact selected applicants. Your personal information will be used solely for the purpose of evaluating your guest application and will not be shared with third parties unrelated to the production of "Debugged with Patrick Bass." Today's Date * Electronic Signature * Type your full legal name EXACTLY AS ENTERED IN STEP 1 to serve as your electronic signature. Verification Question * Answer the question below to verify you are human. What animal barks? Before submitting, you must review and agree to the Talent Release. Click the button below to read the full agreement. 📄 Review Podcast Guest Talent Release & Rights Assignment I have read and agree to the Podcast Guest Talent Release & Rights Assignment. I understand that if selected as a guest, I will be bound by its terms. 🔒 You must review the Talent Release above before you can submit. I certify that all information provided in this application is true and accurate. I understand that submitting this application does not guarantee a guest appearance, and that if selected, I will be required to execute a separate Talent Release agreement prior to recording. ← Back