Apply Here To Become A CoreBrain Journal Client - Guest
First Thought: Condense your message into your one deep perception/brand message. We only have 30-45 min and must focus on your 3 main messages - I will ask you to tell us!
This brief form will help us help you tell your story.
Our CBJ Theme: To help provide fresh answers for the best mind care.
Our CBJ listeners will appreciate your experiences - 3 insights.
- your story is, more often than not, their story.
When you drop a note here Tiffany Isaacson will provide
follow up and contact details for our next steps together.
Start Here
Your name, hometown and a brief history with your helpful experiences on your own journey. What was different than your previous treatment experiences? What was your Aha! moment? *

Example: Tom Smith, Possum Hollow, AR - I had problems with depression for years, tried many meds, and then discovered an unknown food sensitivity. [The * asterisk indicates 'required' answers - but we protect identity for clients... see next box below.]

Your most available Cell Phone Number - for emergency only at the time of recording. *

It won't be shared or used other than for our CBJ administration challenges.
> We now often start with - Watch for the easily clickable link in your email to join that video conferencing site -> Tiffany will send that out to you.

> Please also include Your Skype Address in case of a disconnect or phone: This a video on How To Use Skype: - My Skype is: drcharlesparker

We record using Zoom if possible - and can use your phone in a pinch on Skype. Just make it clear at the outset how to connect with you to facilitate the best recording, and show up about 5 min early.
Do you prefer to remain anonymous?

Please include 3-4 helpful Peer-Reviewed References or Books for your topic so that we can include in your show notes as your recommendations. Not your personal references or testimonials, but academic, book references. Not required - but will help others.

A Reference Example:
> Yechiel Levkovitz, Liron Rabany, Eiran Vadim Harel, Abraham Zangen Deep transcranial magnetic stimulation add-on for treatment of negative symptoms and cognitive deficits of schizophrenia: a feasibility study, Int J Neuropsychopharmacol (2011) 14 (7): 991-996
Essential: Do you have a quality microphone for our interview? *

If not: order the 'Logitech Clearchat Headset' from Amazon for $19.88 or the 'Audio Technica ATR2100-USB' microphone from Amazon for $59 - for your quality voice and programming.

CBJ Disclaimer/Waiver *

I will call you via Skype at the appointed time: My Skype: drcharlesparker. Be sure to let us know your Skype ID in advance. CBJ is an audio-only interview. Skype is free, please download it for our interview.

Recording Agreement: By participating in the CoreBrain Journal interview, you agree to allow CBJ to record, distribute, and disseminate the podcast in any manner. You also agree to allow CBJ to retain rights to the produced media for potential future use, with full attribution, in presentations, books, and in all other public distribution channels.

> Remember: Tiffany handles your interview scheduling - she will get back to you by email following your completion of this form.

Measure what is measurable, and make measurable what is not so. Galileo ~ 1640
If you can't measure it, you can't improve it.
Peter Drucker ~ 2001

Maps and markers illuminate the way - wherever your journey takes you.  Your details matter. Our primary mission is to spread your insights and perspectives on the evolution of mind science.
Thanks for connecting - we'll get back to you soon.
> Send Any Additional Paperwork, PDF References or Remarks To Tiffany Here:
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