Volunteer Form

Title *

Name *

CWID *

Local Address (while attending ULM)

Street *

City *

State *

ZIP *

Phone *

Home Address

Same as local address

Street

City

State

ZIP

Phone

Email *

Birthdate (mm/dd/yy) *

Major *

Class *

Have you previously worked with 91X/KXUL? *

Yes

If so, what year and semester did you start?

How many semesters of previous 91X/KXUL experience have you had?

Do you have previous experience at another radio station? *

Yes

If so, where?

Areas of the station you are interested in working (Check all that apply): *

On-air

Music

Production

Promotions

Office Support

How many on-air shifts are you interested in working each week? *

1 (Only)

1-2

2-3

On-air shifts you are available to work (Check all that apply): *

Monday 4-7 p.m.

Tuesday 4-7 p.m.

Wednesday 4-7 p.m.

Thursday 4-7 p.m.

Friday 4-7 p.m.

Saturday 10 a.m.-1 p.m.

Saturday 1-4 p.m.

Saturday 4-7 p.m.

Sunday 10 a.m.-1 p.m.

Sunday 1-4 p.m.

Sunday 4-7 p.m.

Sunday 7-10 p.m.

I hereby acknowledge and agree that my participation with 91X/KXUL is as a volunteer without payment, compensation, benefits or reimbursement. *

Yes

I further agree to comply with all policies of the University of Louisiana at Monroe, 91X/KXUL, the Federal Communications Commission and any other governmental agencies. Policies of the station are listed in the ULM Student Policy Manual, in the station’s Operations Manual, and will be further enumerated during the station’s course of operation. Failure to abide by such policies shall be grounds for separation from 91X/KXUL. *

Yes

As a volunteer I accept the responsibility for any on-air shift(s) and other assignments I undertake, including completing such assignments in a professional manner, attending periodic staff meetings, securing suitable replacements in the event of my absence, and caring for all station facilities. *

Yes

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