Your Name *

Cell Phone *

E-Mail *

Address 1*

Address 2

City *

State *

Zip *

Best Way To Reach You *

Email Telephone Mail

Information About your Show

Show Name *

Show Description *

Previous Time Slot (If Applicable) *

New Time Slot (If Applicable) *

Under which category would your show best fit? Choose up to two:

Public Affairs: talk, news, spiritual, non-profit, comedy

Indie: pop, new wave, punk, hardcore, indie rock. noise, electronica

R&B: soul, funk, hip hop, motown, disco

Rock: classic rock, blues rock, prog, jam, metal

Roots: blues, bluegrass, folk, country, world, reggae latin, celtic

Classical: contemporary, minimalism, opera, broadway, film scores

Freeform: shows that feature a bit of everything

What is your specialty? What are you offering that is unique? *

Non-music shows: Please describe your format: *

I would like to: *

Additional notes or information not covered above: *

I understand that I will be trained in proper operation of the station and will be expected to follow station rules and procedures.*