Please type the below information EXACTLY as you wish for it to appear in the show.

Please use a desktop or laptop to fill out the form. iPhones and iPads are not compatible to attach your logo to the form.

"*" indicates required fields

Name of Organization

I certify that we're a Naperville area 501(c)(3) nonprofit organization

Please check the box.

Guest #1 Name*

Guest First Name and Last Name

Guest 1: Job Title (Staff) or Role/relationship to organization (if not Staff. E.g. Board Chair, Client, Volunteer, etc.)

Optional Guest #2 Name

Optional Guest First Name and Last Name

Optional Guest 2: Job Title (Staff) or Role/relationship to organization (if not Staff. E.g. Board Chair, Client, Volunteer, etc.)

Website of Organization

Please provide an overview of your organization (no less than 350 words) that will accompany your interview video on NCTV17's website. This as an opportunity to promote your organization, so include key search words within your description that help Google find your interview and include page links to your website, where appropriate.

Using the list of questions given to you by our Producer, provide the 4-5 questions your organization wants to be asked during the interview. Include the name of the guest who will answer each question. We encourage you to order your questions so you go back and forth between guests to make your interview conversational.

Email of the contact person coordinating guests for this interview.

Upload your large format logo for the show. A large format PDF is preferred. The higher the resolution, the better. A small thumbnail will not work.

Accepted file types: ai, jpg, pdf, png, jpeg, Max. file size: 256 MB.

Upload up to 6-10 hi-resolution images (at least 300 pixels per inch (ppi)) for possible use during your interview. Please make sure the images correspond to points you plan to cover in your interview. I.e. If you plan on talking about the grand opening of a new facility, please send images or renderings of the new facility. Photo usage is at NCTV17's discretion.

Drop files here or
Accepted file types: jpg, gif, png, pdf, eps, Max. file size: 256 MB, Max. files: 6.

    Please use a desktop or laptop to fill out the form. iPhones and iPads are not compatible to attach your logo to the form.