Apply to be a Guest on Remember Me

Submit Your Application Below

Please listen to an episode of Remember Me before applying.

Please note that only select interviews are produced into full episodes for the podcast.

If you are interested in sharing your story in our private Re-Members Only site, please note that below.

Name

First Name

Last Name

Share your connection to Frontotemporal Degeneration, or early-onset dementia (Alzheimers, Lewy Body Dementia, or related dementia)

Have you ever shared your story on a public forum such as the AFTD, The Alzheimer's Association, local news, other podcasts?

If you have a website, please share it with us:

http://

Tell us your favorite aspect of our podcast.

Share your favorite episode if you'd like, we all know we have a favorite :)

What is your primary motivation for being a guest on Remember Me?

Is there anything else you think we should know?

Time Zone

Do you have access to headphones with a microphone option?

We recommend using Apple headphones or Airpods.

Yes

Do you have consent from your family members to share your loved ones story?

Yes

Do you have access to strong wifi and able to participate in a one hour call via Zoom?

Yes

Are you comfortable / do you have any experience with public speaking?

Yes

Please initial below that you consent to the podcast being edited and released at our own discretion. Remember Me, LLC has sole ownership of the audio/production.