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KMBC-TV
PUBLIC AFFAIRS
OUTREACH PROPOSAL FORM

1. Briefly describe the project. (nature of event/geography/scope)

2. List project date(s) and location.

3. If project took place in past years:
How many people did it impact?
If money was raised, how much?
Who received the funds, how is the money allocated?
Did the money remain in the Kansas City area?

4. Please list current sponsors and their contribution to the project.
(Include broadcast & non-broadcast participants)

5. Has the project been sponsored by another television station?
What station? For what period of time?

6. Is any other media organization (TV, radio, billboard, newspaper, etc.)
paid for advertising to support the organization or event?

7. What objective would be served by KMBC-TV's participation in the project?
(Greater attendance, fundraising, etc.)

8. Please list specific help or participation requested from KMBC-TV.
(Include desired level of on-air promotion, talent appearances, employee participation, etc.)

9. Please list specific benefits the project would provide KMBC-TV.

10. Please give us a deadline for making a sponsorship decision.

11. Please include any other pertinent information that you feel will give us the information we need to make a decision.

Project Representative Name:
Project Representative Title:
Phone Number:
E-Mail Address:

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