Please submit the form below for your chance to be considered for our second Rubin Report Fan Show! We'll be selecting people of varying age, race, gender, location, and political ideologies so please be as honest as possible in your answers.

Want to increase your chances at being on the show? We'll be selecting 2 people from our Patreon page - it's not too late to jump in and be considered! Simply join our Patreon here at the $25 tier or above, then see our post with the link to fill out the special Fan Show form for Patrons.

All submissions due by midnight (pst) on April 6th.

Name *
Must be 18 or over to participate.
If from the USA, please specify USA as well as which state you live in. Example: USA - California
Please keep this limited to 10 sentences or less.
Please use a numbered list. Example: 1. Topic 1 2. Topic 2 3. Topic 3
*Suggested. Your Twitter @ handle, Facebook profile, or somewhere else you share your thoughts.