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Empowering Women Radio Form

Please complete the form below to send us your information for appearing on Empowering Women Radio with host Rebecca Hall Gruyter. *All fields are required, except for the social media links. If you have any questions or need assistance, please contact my show producer, Mimi Paez: mimi@yourpurposedrivenpractice.com

  • Please make sure your short bio is no more than 75 - 100 words long. If you go longer, the show site will cut it off awkwardly mid-sentence. Please write it in third person, in paragraph form.
  • Accepted file types: jpg, png, Max. file size: 512 MB.
    Please attach a high quality 350x350 pixel headshot to accompany your bio. It should be in the jpeg, jpg, or png format. No other people or animals should be in the photo. 512 MB Max file size allowed.
  • Please craft 4-7 suggested questions Rebecca could use during the interview; it is most helpful if they tie into the theme mentioned in the email.
  • Please list your active social media links one per line such as Facebook, Instagram, Twitter, Pinterest, LinkedIn and YouTube. Click the plus sign on the right to add a new line for the next site.