Media/Podcast Request

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Name*

Organization/Media Outlet*

Job Title/Role*

Email Address*

Phone

Website or Platform, optional

Type of Request:

Podcast Interview

Television Interview

Radio Interview

Print/Online Publication

News/Media Interview

Documentary

Panel/Recorded Conversation

Other

What is the name of the show, publication, podcast, or platform?*

Please provide a link to the show, publication, or platform, optional

What would you like to interview or feature Dr. Candace Jones about?

Proposed Date*

Alternate Date, optional

Is the interview:

Live

Pre Recorded

Not Sure Yet

Expected Length of Interview

Location/Format:

Virtual

In Person

Phone

Studio

Other

If in person, please provide the city and state.

When do you expect the interview or feature to be published or aired?

Is there anything else we should know about this request?

I understand that submitting this form does not guarantee acceptance or availability. We will review the request and contact you regarding next steps.

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SCRIPTURE THAT GUIDES ME

“And be not conformed to this world: but be ye transformed by the renewing of your mind, that ye may prove what is that good, and acceptable, and perfect, will of God.”

‭‭Romans‬ 12:2

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