Volunteer Survey

First Name *

Last Name *

Previous Name(s)

On-Air Name

Contact Information

Contact information will not be shared or published.

Phone Number *

Email address *

Mailing Address *

City *

State *

Zip Code *

Position(s) held at KRCL *

list as many as apply to you

Staff

Volunteer (on air)

Volunteer (off-air)

Board Member

Special Assignment

Other

Personal Information

Staff Position(s) Held *

On Air Volunteer *

Describe your program(s) as best as you can. (1) Type: Music, Public Affairs (non-music) (2) Title: (3) Length: Short (0-10 minutes); Medium (10-29 minutes); Long (>30 minutes) (4) Air Time: day(s) of week, time of day (5) Live/Pre-recorded (6) Start Date and End Date

Off Air Volunteer *

Describe your off-air volunteer responsibilities

How did you get started at KRCL? *

Material Survey

Do you have KRCL-related materials to lend or contribute to the KRCL History Project?

Materials may be scanned, photographed, or copied for the station archives and returned to the owner.

Paper/ephemera

Other *

KRCL branded swag/radiothon premiums

Other *

Photos

KRCL people, KRCL events, KRCL buildings inside and outside

Prints

Slides, negatives

Digital photos

Audio or Video

Audio cassettes

¼” reel-to-reel tape

Carts

Digital files

Motion picture film (8mm/16mm/35mm)

Videotape (VHS/Betamax)

Digital video files

Other

Other *

A permanent, curated archive for KRCL materials might be created, if so, would you be willing to donate materials to the archive? *

Describe which materials you would or would not donate

Are you willing and available for an interview? *

Interviews may be recorded and published.

Yes

No

Maybe

Signature *

I consent to the use of the information provided for the purpose of compiling a history of the KRCL Radio Station and its people.