JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
I'd Like to Make Radio on Wellington Access Radio
Please fill this form out for your programme.
If you have any questions please contact pip@accessradio.org.nz
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
Your answer
Pronouns
Your answer
Phone
Your answer
Email
Your answer
Programme Name
Your answer
Tell us about your show (short description of your idea)
Your answer
Language/s
Your answer
Names and contact details (cell phone number or email address) of any other Access Society members who will be using the Access studio facilities
Your answer
Duration
14 minutes
26 minutes
43 minutes
56 minutes
Clear selection
Is your programme by, for and about any of the following:
Children
Youth
Community/Not-for-Profit
Women
Disability
Ethical
Languages other than English
Gender/Sexuality
Minority INterest
Music
Religious/Spiritual
Other
Are you under 18 years old?
*
Yes
No
If you answered yes, please provide a name, email & phone number for an appropriate adult contact (i.e. parent/guardian/teacher) that we can get in touch with.
Your answer
Date
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms