CLARITY TV - Guest Form

Thank you for expressing interst to being interviewed for CLARITY TV!

We are excited to explore the opportunity to host you and share with our following your insights, philosophy, tips, tricks and more.

In order to be considered for our show,  please take a minute to fill out this form.

Thank you and our team will be in touch,

Dolores & MIC Team

First & Last Name

How Do We Introduce You?

Tell us your title and any lettered designations you may have.  (Keep this short, we will use it for your graphic)

(i.e  Lora Denton, CPM  Photographer, Coach, & Author)

How would you like to be introduced on air?

We will likely ad-lib a bit, but please share how you would prefer your intro to go by finishing the following sentence!

"Welcome to Clarity TV! We are so excited to introduce our guest, YOUR NAME, who is........"

Share a Short Bio (300 words or less)


Website (or where we can learn more about you)

Phone Number

Only if we are having trouble reaching you

Social Media Information

Please give us your social media information so we can tag you when promoting in social media. Add as many as you have/ actively use.

Add item

Tell Us A Little About Yourself

What is the CORE of your work? Share with us what is at the core of your work and what you want to share with our audience.

What would you like us to focus on for this interview? Do you have a main topic to explore?

Any questions you'd like us to ask you on air?

Add item

What is a challenge you have overcome?

What are you most proud of in your life?

Are you willing to be on camera or audio only?

Please Upload a recent Headshot. (High Resolution Please)

Attach file

What is your favorite book of all time?

Anything else we should know/focus on?

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