Membership Application Form

(The information on this page is collected from you for the purpose of maintaining records of the membership of RDJ-FM Community Radio Co-op Ltd under the requirements of the Co-operatives Act 1992 and is retained by the Board of the Co-operative.)

PROPOSED PROGRAM INFORMATION

(The information on this page is collected from you for the purpose of the management of 2RDJ-FM and is available to members of the Programming Committee and to staff and/or members working in the office as well as to the Board.)

What is your connection to 2RDJ's broadcast area (municipalities of Burwood, City of Canada Bay,
Strathfield and the former LGA of Ashfield)?

Previous Radio Experience?
If yes, when and where?
Other experience / interests:
Producing / Researching / Writing
NoneSomeExpertInterest
Marketing / Sales
NoneSomeExpertInterest
IT / Technical
NoneSomeExpertInterest
Administration / Office
NoneSomeExpertInterest
Training
NoneSomeExpertInterest
Promotions/Events
NoneSomeExpertInterest
Other (please provide details)
Your availability (please check one or more boxes)
Morning
MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Afternoon
MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Evening
MondayTuesdayWednesdayThursdayFridaySaturdaySunday
If you are successful in obtaining an on-air shift, what type of program you would like to present?

How would your proposed program be relevant to those living and/or working in 2RDJ's broadcast area (municipalities of Burwood, City of Canada Bay, Strathfield and the former LGA of Ashfield)?

Any other relevant Information

Complete and submit only if applying for membership at concession rate

apply for membership at the concession rate on the grounds that

I am a PensionerI am a Senior CitizenI am a student
If Pensioner:

If Senior Citizen:

If Student: