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LOUISVILLE'S

COMMUNITY

RADIO STATION

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WXBH PROGRAM PROPOSAL

PLEASE PRINT THIS PAGE AND MAIL IT TO US OR EMAIL YOUR
APPLICATION TO WXBH@WXBH.ORG

Anyone in the Louisville community is welcome to submit
a proposal. A station representative will contact you if you
have been selected for content review and schedule a time for
studio access and help you produce a demo if necessary.

Name: _________________________________________________

Telephone number: ____________________________________________

When is the best time to reach you by phone? _________________

Email address: _______________________________________________

Description of your show: ____________________________________

______________________________________________________________

______________________________________________________________

______________________________________________________________

______________________________________________________________

Length of the show: ____________________________

How often do you hope it will air? ______________________

Do you see yourself having a live or taped show? _____________

What do you think that you can bring to WXBH?
How does your program idea fit in with our mission statement?

______________________________________________________________

______________________________________________________________

______________________________________________________________

______________________________________________________________

______________________________________________________________

Community Communications Training and Certification:
Producers are required to complete the Community Communications Certification program. We'll email you with updates and registration information. See
www.communitycommunications.blogspot.com for more information.

What is your experience and education in community media?
What can you teach? What would you like to learn?

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

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Print and mail to:

    Brick Radio Collective
    1101 South 2nd Street
    Louisville KY 40203