WVYC PRACTICUM AND MEMBERSHIP APPLICATION

Name________________________________________

YCP Student ID number _902-________________

Local Address _______________________________

E-Mail Address ______________________________

Phone Number ______________________________

____1. Check here if you are a full-time student and your GPA is above a 2.0.

Required for participation in all YCP social functions according to YCP regulations.

____2. Check here if you are qualified as an FM operator.

____3. Check here if you are willing to be listed as an FM substitute.

____4. Check here if you are qualified as an AM operator.

____5. Check here if you are willing to be listed as an AM substitute.

____6. Check here if you want to be listed as a volunteer and not receive a grade.

PRACTICUM INSTRUCTIONS

____1. Check here if you are adding this course, and are not listed on the attendance sheet.

____2. Enter your Practicum Level: 1, 2, 3, or 4.

____3. Check here if you attended the first practicum meeting.

If you were unable to attend the first practicum meeting, please justify your absence.

____________________________________________________________

DEPARTMENT ASSIGNMENTS

1. You will be assigned to work in 2 departments.

2. You may not select any previously graded departments.

Draw a line through all departments in which you have received a passing practicum grade.

3. Place a number 1-4 in order of preference, in 4 departments that you would like to be assigned.

We will try, but will not guarantee, 2 of your 4 choices.

4. You may not switch departments without permission from the instructor or station managers.

5. Failure to fill this form out correctly could result in assignment to unselected departments.

DEPARTMENT SELECTION

____ADMINISTRATIVE / T&C ____SPORTS

____AM (ON THE AIR) ____PRODUCTION

____COPYWRITING ____PROGRAMMING

____EDUCATIONAL ____PROMOTIONS

____ENGINEERING ____PUBLIC AFFAIRS

____FM (ON THE AIR) prior approval required ____PUBLIC RELATIONS

____LIBRARY ____TRAINING

____MUSIC ____UNDERWRITING

____NEWS ____ WEBSITE / IT

____KAIROS ____ __________________

I certify that I have read, understand and will comply with all WVYC rules and regulations.

Signature_________________________________________ Date _______________________