Community Service Partners
	Child Advocacy Center
	Friendship Home
	Make-a-Wish Foundation
	Hearts United for Animals
	Teammates of Nebraska
	Hope Harbor
	Heartland United Way
	People's City Mission
	Homestead Heritage
	CenterPointe
	Foundation For LPS
	Fresh Start
	Noah's Assistance Dogs
	2-1-1
	Spring Creek Prairie
	Dawes Middle School
	Lincoln's Union Plaza
	Nebraska Sports Council
	NSAA

KOLN/KGIN'S Public Service Request Form KOLN/KGIN's Criteria for Public Service Announcements -Minimum of 6 weeks notice prior to event unless agreed to by management -No sponsorship mentions/logos -No guarantee of news coverage -All public service announcements will run out of available inventory -No performance affidavit will be available -10/11 management reserves the right to decline a request without explanation You may fill out our online form below and click the submit button, or, you may PRINT out a copy of the form and mail it to: KOLN/KGIN-TV ATTN: Public Service PO Box 30350 Lincoln, NE 68503 1.Contact Information Name* Address* Phone* Email* 2.Organization Info Organization Name* Organization Web Site (if none, type n/a)* 3.What are you requesting?* Talent Appearance Promotional Spot Community Calendar 4.If it's a promotional spot, is the spot already produced?* Yes No n/a 5.What event or message is your organization trying to promote?* 6.Anticipated air dates?* 7.Please enter your date of birth. Month* Day* Year* JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember 01020304050607080910111213141516171819202122232425262728293031 20082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920191919181917191619151914191319121911191019091908 8.Terms and Conditions    YES, I have read, understand, and agree to the Web site usage agreement and privacy policy. * represents required fields Children under the age of 13 may not submit this form.

Public Service Announcements