NBC4 SOUTHERN CALIFORNIA COMMUNITY REQUEST FORM
NBC4 Southern California is proud of its long history of supporting many philanthropic causes throughout Southern California, including Los Angeles, Orange, Riverside, San Bernardino and Ventura counties. We truly appreciate you reaching out to NBC4 when planning your organization's community initiatives.
As part of our mission to better serve the community, NBC4 provides in-kind and financial contributions to not-for-profit, 501(c)(3) organizations that work to raise awareness, and expand and/or enhance their service reach.
We receive hundreds of requests each year and review each one thoroughly. To ensure your request is considered, please submit this form at least 45-60 days prior to your event. Please allow us up to four weeks to respond.
NOTE NEWSCAST SCHEDULE: Monday - Friday at 4:30-7AM, 11AM, 4PM, 5PM, 6PM and 11 PM. On Saturday & Sunday at 7AM, 5PM, 6PM and 11PM.
FOR PSA SUBMISSIONS, please email a link to your organization's PSA to NBC4Community@nbcuni.com for consideration.
FOR NEWSROOM REQUESTS to cover an event, please send your media advisory to firstname.lastname@example.org for consideration.
Name of Organization
Name of Event/Program
Duration of Event (i.e. 6-9 p.m.)
Exact time NBC4 Talent must check-in
Estimated departure time
What parking arrangements will be made for NBC4 Talent?
Number of people expected to attend event or to be served by program
Geographic area served by this event or program
Type of Request (check all that apply)
Talent Appearance (On-air NBC4 Anchors & Reporters)
Other (For news coverage requests, please email email@example.com
If a Talent Request, who are you requesting?
Briefly describe event, and the role NBC4 would have. If it's a talent request, what role will he or she play? (Please be specific.)
NOTE: If you are requesting talent to attend so they can cover the event for NBC4 newscasts, please email a press release or advisory to firstname.lastname@example.org.
Describe how NBC4's support will directly impact the community.
Full Legal Organization Name
Full Address (Street, City, State, Zip code)
Tax ID Number
Brief Description of Organization
Main contact person for this request
Population served (check all that apply)
If ethnic minority, which group(s)?
Which one of the NBC4 focus areas does your organization support? (check only one that most aligns with your organization's broad mission)
Commitment to a better environment
Celebrate cultural diversity
Promote health & wellness
Commitment to humanitarian issues that improve quality of life
List All Sponsors (If no sponsors, list "none")
Has your organization ever received support from
NBC4 Southern California / KNBC
21st Century Solutions
Telemundo 52 Los Angeles / KVEA
None of the above
Total Program Budget
Total Operating Budget
Do Not Fill This Out