Interview Request

First Name

Last Name

Email Address *

Please enter your email so we can get in touch.

Name of Host *

Desired Date of Interview *

Date *

Request Interviewee *

Host Location

Host Website *

Platform for Interview - Phone, Zoom, etc. *

Length of Interview *

Subject/Content of Interview *

Media Type *

Audience *

Will the Interview be Live or Recorded for later broadcast? *

Live

Recorded

Will Nik Ripken Ministries be given a copy of the interview upon completion? *

Yes

No

Will Nik Ripken Ministries have permission to use the content of the interview? *

Yes

No