Our Live Support Hours:	Mon-Fri: 8:00 AM - 9:00 PM
	Sat: 9:00 AM - 5:00 PM

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Volunteer Application

Name:

Date of application:

Address:

City:

Postal Code:

Telephone (home):

Telephone (work):

Telephone (other):

Facsimilie:

E-mail Address:

In event of emergency please notify:

Relationship:

Telephone:

When are you available?

mornings
afternoons
evenings
weekends

Do you have any experience in video or sound production, photography, journalism, etc?

yes
no

If yes, please specify:

Why do you want to volunteer with your community channel?

Do you have any physical disabilities or health conditions that may restrict your participation?

yes
no

If yes, please specify:

Are you 16 years or older?

yes
no

How did you hear about Delta TV?