Submit a Proposal for an Episode of Amplified

Do you have an idea for an episode of TASH Amplified? Or is there someone you have in mind that you would like to hear from and want to make a suggestion? Then we would like to hear from you. Use the following form to tell us about your idea.

Contact First Name *The first name of the person who will serve as the point of contact for the proposed podcast episode.		Contact Last Name *The last name of the person who will serve as the point of contact for the proposed podcast episode.
Contact Email Address *The e-mail address of the person who should be contacted about the proposed podcast episode.
Contact Phone NumberThe telephone number of the person who will serve as the point of contact for the proposed podcast episode.
Interviewee First NameThe first name of the person to be interviewed for the proposed podcast episode (if different from the contact name).		Interviewee Last NameThe last name of the person to be interviewed for the proposed podcast episode (if different from the contact name).
Interviewee OrganizationThe name of the organization of the person to be interviewed for the proposed podcast episode (if applicable).
Your Podcast ProposalDescribe your idea for an episode. Who will we interview? What is their area of expertise, or what special experience do they have that would be of interest to our listeners? What topics would we discuss?	3000 of 3000 characters remaining
Topics *Select at least one topic for the podcast. You may select multiple if your proposal covers more than one area.	Activism Agency transformation Aging Assistive technology Community living Diversity and cultural competency Early intervention Education Employment HCBS Waiver Rule Implementation International issues Intersectionality Law and public policy Managed Care Person-Centered Planning Post-secondary education Research to practice Self-advocacy Sexuality Support agencies Supported decision-making Supported employment Systems change Transition PBIS and Trauma Informed Practices Other
OtherIf the topic selections above do not cover the topic of your episode proposal.

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