These Guys Make T-shirs For Pirate Cat Radio

Radio Program Application

Please fill out this form completely; be sure to include an email address and phone number so we may contact you about joining the Pirate Cat Radio collective.

Step 1. Tell Us About Your self...

Today's Date (mm/dd/yy):
DJ Name:
Radio Show Name:
Email:
Your Real First Name:
Your Real Last Name:
Occupation:
Address:	Apt. #:
City:	State:
Zip:
Evening Number:	()
Day-time Number:	()

Are you able to donate $25 a month to Pirate Cat Radio for your weekly radio program?
Yes No
If the answer is No, please tell us why.

Step 2. What type of radio program would you host?

Select the type of radio program you would host:
News Program
Political Talk Show
Comedy Show
Music
*Only If Music based show, list ten songs you would play:

Other:

Step 3. Tell Us What Shift You Want

Pick Three 2-hour time slots
Click here for a list of open shifts

First Choice
Second Choice
Third Choice

When are you available to begin?

Step 4. Additional Information

How Did you Hear about Pirate Cat Radio?
Found it on the Radio
Word of Mouth
Someone from the station
Who:

Do you speak, write, or understand any foreign languages?
If yes, please specify:

Do you have any radio or audio experience?

Why Do you want to DJ for Pirate Cat Radio?

Any additional information you would you like to provide?


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