Podcast Booking Form

Get all the information you need to be a part of the show! Instructions, dates, times, as well as, suggestions for mic, sound, video and professional photos to promote yourself. This is also the spot to provide the necessary details about you for the episode.

Please complete the form below

Name

First Name

Last Name

Phonetic Spelling

Email

Phone (or Skype ID if outside of US)

A short bio (50 words)

Don't have a pre-written bio? An easy format you can use is: You help ___ get ___ so that they can ____. I integrate faith and mental health because___. Have a short pre-written bio? Feel free to link to a bio page here.

Is there a specific story you'd like to share about your faith and practice? *

Why is integrating faith into your practice important? What drove your choice? How have you made it work?

What is the most important message you want our listeners to take away from our interview? *

Your Professional Website

http://

Active Social Media Links *

I will add these to the shownotes so people can find out more about you. Twitter, FB, IG and LinkedIn are the most common.

What's been your most influential book and why? *

The Gospel Couch Podcast

Podcast Booking Form

Please complete the form below