First Name *

Last Name *

Phone *

Email *

Business Name *

Website or Main Social Media Link *

How do you want to connect with The Confident AI Woman? *

Are you currently using AI in your business? *

Are you interested in being featured on The Confident AI Woman Podcast? *

Yes

Maybe later

No, I only want to join the list

What topic would you love to discuss on the podcast? *

Which conversation themes best connect with your story? *

AI, Business & Digital Strategy

Visibility, Confidence & Showing Up Online

Building Through a Quiet Season

Reinvention, Rebranding & Pivoting

Faith, Purpose & Entrepreneurship

Systems, Structure & Automation

Content Creation, Podcasting & Video

Leadership as a Woman Entrepreneur

Other

Tell us briefly about your business, story, or current season. *

What is one lesson, testimony, or business truth you believe other women entrepreneurs need to hear? *

Permission + Final Details

Please review the final details so we can stay connected and follow up appropriately. The Confident AI Woman uses AI-supported production tools, including Dre’ya Jae, Jeketa Starks Shavers’ AI Twin, as part of the show experience.Text

If selected, are you comfortable being recorded for audio/video and having your interview or submitted content used for podcast production, YouTube, social media clips, and related promotional content? *

Yes

I have questions first

The Confident AI Woman may use AI-supported production tools, including an AI Twin host, voice/video editing, captions, clips, and promotional content. Are you comfortable with your interview being included in an AI-supported podcast production workflow? *

Yes

I have questions first

Anything else you want us to know?

By checking this box, I consent to receive non-marketing text messages from The DiJoytal Agency Group about my podcast interest, guest application, community updates, or business inquiry. Message frequency varies, message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

By checking this box, I consent to receive marketing and promotional messages including special offers, discounts, new product updates among others, from The DiJoytal Agency Group, including podcast updates, AI clarity resources, offers, announcements, and business support information, at the phone number provided. Frequency may vary. Message & data rates may apply. Text HELP for assistance, reply STOP to opt out.