Interview Request Form

Thank you for your interest in appearing on one of WKYT’s interview segments during our 10 a.m. or 12:30 p.m. newscasts.

To submit a request to be part of one of our newscasts, please submit the following online request form.

1.Name of Organization/Group/Person:

2.Contact Person

First Name*		M.I.		Last Name*

Email Address*		Daytime Phone*		Evening Phone

3.Name and title of the first guest hoping to be interviewed:

4.Name and title of the second guest hoping to be interviewed:

5.Please summarize the reason you would like to appear on our newscast and the message you would like to convey.*

6.If you’re promoting a specific event, when and where is this event?

7.Please list the dates that the guests would be available to be on our newscasts:*

8.Please enter your date of birth.

Month*		Day*		Year*

9.Terms and Conditions

I have read, understand, and agree to the Website usage agreement and privacy policy.

* represents required fields

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