Apply to Be a Guest

Thank you for your interest in our show. To apply to be a guest, please fill out the form below. Due to the number of submissions we receive, we are unable to provide a radio time slot for all applicants. If your submission is chosen, someone from our Roses and Rainbows Ministry, Inc. team will reach out to you via email to schedule.

Name*

First NameLast Name

Profession or Business Name

Email*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone number you will use to call into the show*

Please enter a valid phone number.

What topic would you like to present on COFFEE with Kim? *

Please describe the topic, including a bit of the back story. For example, what brought you to this topic, how this is important to you, how this topic affected you personally, and how you want it to affect others (do you have a book, etc.).*

Please list three scriptures pertinent to your topic.*

What message would you like my audience to walk away with?*

Let's Connect! Please provide your website and/or social media handles*

Upload your bio or media packet here*

Upload your headshot*

Thank you for providing this information as we prepare to share your story. Please know that Kim will guide you as she relies on God to direct her. You can rest assured that we will have a great show as we share our hearts to give hope and healing to our listeners.

Please verify that you are human*

I hereby grant Kim Crabill and Roses and Rainbows Ministry, Inc. permission to share my information as provided above and that which will be recording during programming including photo, audio and media footage, website links or other promotional materials as provided. I understand that this information/material will be shared on the Roses and Rainbows Ministry, Inc. platform and further syndicated through the Roses and Rainbows Ministry, Inc. affiliates and partners.

By signing below, I am agreeing to the above Terms and Conditions.

Signature*