We’re looking forward to you joining us on for a live, in-studio interview.

To prepare for your interview and ensure your time with us is a valuable tool for you to convey your message, we ask that you complete our brief online questionnaire at least 24 hours before your scheduled interview.   

Your responses will ensure we have the necessary information to prepare our questions, any necessary special accommodations, and any graphics that may need to be produced ahead of time to enhance your visit.  In addition, we can best accommodate up to two guests during the segment.

1.Contact Person (Please include a phone number where contact person can be reached the day of the interview)
First Name* M.I. Last Name*

Email Address* Daytime Phone* Evening Phone
2.Cell phone
3.Interview will take place on:*
4.How many guests are participating in the interview?
5.What are their names and titles?
Name of guest 1*
Title of guest 1*
Name of guest 2
Title of guest 2
Name of guest 3
Title of guest 3
6.Are you bringing props with you? If yes, would need a small, medium or large sized table in order to place the items?
7.If you’re promoting an event, please fill in the following details:
Name of event:*
Date of event:*
Time of event:*
Venue of event:*
Cost of event:*
Contact information:*
More information:*
8.Please list any phone numbers, email address or websites that you would like shown on the screen?
9.Is there any other information that you think is pertinent to this interview?
10.**The FCC requires WKYT to provide closed captioning to better serve the hearing impaired. All interview guests MUST provide text that will be used for closed captioning. Failure to provide this information will result in the cancellation of your interview. Please list three questions that you would like to be asked during your interview. Then provide a brief answer to each question (about three sentences).
Question 1:*
Response 1:*
Question 2:*
Response 2:*
Question 3:*
Response 3:*
11.Please enter your date of birth.
Month* Day* Year*
12.Terms and Conditions
I have read, understand, and agree to the Website usage agreement and privacy policy.
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