AMERSA Podcast Host Form

AMERSA's podcast series are intended to spark curiosity, raise awareness, and lay a foundation of knowledge and motivation for further exploration. AMERSA Podcasts are recorded in a conversational interview format. Each episode features a host and one or two guests. The host serves as the interviewer and the guests serve as the subject matter experts who respond to the interview questions. Guests and hosts should represent a broad range of disciplines and present a multidisciplinary perspective.

We are always seeking AMERSA members who would be interested in serving as a host on one of our podcast episodes. If you would be interested in serving as a host please submit the form below to indicate your interest. We will reach out with more information if we produce an episode that compliments your expertise and experience.

Fields marked with an * are required.

Please verify that you have checked the “I'm not a robot” checkbox.

Please select the discipline with which you most closely identify. 

Select up to TWO choices that best fit your professional identity. Please select your PRIMARY professional identity first. 

Addictions Counselor
Administrator
Advocate
Clergy
Community Health Worker
Dentist
EMS Provider
Epidemiologist
Harm Reductionist
Journalist
Lawyer
Nurse
Nurse Practitioner
Occupational Therapist
Peer Specialist
Person or Family of Lived and Living Experience
Pharmaceutical/Healthcare Industry Representative
Pharmacist
Physical Therapist
Physician
Physician Assistant
Professor/Faculty
Psychologist
Public Health Professional
Public Policy Professional
Researcher
Student
Social Worker

Why are you interested in being an AMERSA podcast host? Share what excites you about this role and any experiences that might help you bring engaging conversations to life.