BE Empowered Global Media Interview Request Form

BE Empowered Global Media Interview Request Form

Business Empowered International Chamber of Commerce
The BE Empowered Global Media is a YouTube broadcast of the Business Empowered International Chamber of Commerce dedicated to spotlighting purpose-driven business owners, ministry leaders, and community changemakers.

This interview opportunity allows members and honorees to:
✨ Share your products, services, or community initiatives.
✨ Inspire others through your story of faith and perseverance.
✨ Declare the good news of Jesus Christ and your Kingdom impact.

Complete the form below to request your interview slot.
Full Name*
Email Address
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Business/Organization Name*
Title/Position
Website and/or Social Media Links*
(List one or more links to your website, Facebook, or Instagram.)
Which category best describes you?*

BEICC Chamber MemberBOMA Hall of FamerCrowns & Clippers HonoreeCommunity Leader / PartnerBusiness/Ministry Leader/Partner
Membership Level (if applicable):*
Briefly describe your business, organization, or community initiative.*
What key message or testimony would you like to share during your interview?*
(For example: a success story, your faith journey, or how your business impacts your community.)
What products, services, or programs would you like to highlight?*
How has your faith in Jesus Christ influenced your leadership or business journey?*
Upload Your Headshot and Business Logo*

(Please submit a clear image for your feature graphic.)
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Interview Scheduling Information

Has your interview already been scheduled with Dr. Amos or a BEICC team member?
Has your interview already been scheduled with Dr. Amos or a BEICC team member?

Yes, my interview date and time have already been confirmed.No, I need to request a date and time.
If yes, please enter your confirmed interview date.

MonthDayYear
Date
Please enter your confirmed interview time.
Example: 2:00 PM CST
Who confirmed your interview?
(Example: Dr. Kathy Amos, Media Team, etc.)
If you selected no, please choose a date that aligns with your availability. Our team will confirm final scheduling.

MonthDayYear
Preferred Interview Date
If you have not yet scheduled your interview, please select your preferred date and time. Our media team will contact you to finalize scheduling based on the BE Global Network calendar.
Choose one of the following:*

Live Interview (via Zoom)Pre-recorded SubmissionIn-person (by invitation only)
Scheduling Acknowledgment
Choose one:*

I understand that my interview date is not confirmed until I receive a scheduling email from BEICC Media.I understand that if my date has already been approved, this form serves as official confirmation and documentation for the BE Global Network production team.
Should be Empty:

BE Empowered Global Media Interview Request Form

Interview Scheduling Information

Scheduling Acknowledgment