Welcome!
The Mother of Change Show is appreciative in your interest to be our guest. We would love to more about you and your desire to be on the show. 
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First and Last name *name as you would like us to refer to you on the show *
What city and state are you located in?
Email

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Text #

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Do you have a website or IG? *
How many children do you have and what are their age ranges?
How would you like to encourage moms? In what areas? Work/life balance, health, mindset, faith, relational, entrepreneurship?
What is on one topic or testimony you feel you could speak about that would encourage moms?
What do you think are 2 of the most common struggles moms deal with on a daily basis? And do you feel you could offer any insight on either of these two topics?
Are you in the Mother of Change Show Facebook group?  *
Are you married? If so how many years?
Is there anything you would like to add?
Who would you like to refer to be on our TV show as a guest? Please give us her first and last name and contact info. TIA *
I understand the Mother of Change Show was created to "build the waste places" and "repair the breach" within families (Isaiah 58:12, Luke 14:23). The Mother of Change Show mission is to magnify Christ and His Word by shifting culture through raising up KINGDOM FAMILIES.

I understand that the show supports the Biblical family unit of marriage between one man and one woman.  (Although we are careful to share the love of Christ to all.)

I understand The Mother of Change Show is geared towards encouraging families in Biblical cultural morality.

I understand that the show is very supportive of moms including single moms. 

I understand the show's goal is to ENCOURAGE, EQUIP, EMPOWER moms to regain the power of motherhood.

Together we can restore HOPE for moms and help them to walk in confidence and authority.
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We are thrilled to announce that if you are chose your segment will also be aired in globally including our over 1 million reach in West Europe and Sub Sahara Africa, plus we stream Live on ROKU, Amazon FireTV, AppleTV, and several other major platforms that reaches over 236 million homes internationally on varied platforms including 6 cable channels.
This opportunity will increase your visibility, ministry credibility, and overall brand awareness, which could increase clientele and a good name.
Thank you for taking time to fill out this form. This is phase 1 of the interview process. If you haven't already please book a connection call.

Phase 2: Please Schedule A Call 
We look forward to connecting! This discovery call is to help answer any questions you might have and we can discuss next steps!

For further information write: info@motherofchange.tv

Blessings,
-The Mother of Change Show Team
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