KERA Membership Drives Individual Sign-Up Form

*Name:

Mailing address:
*E-mail address: Please enter carefully.
Home phone:
Work phone:
Cell phone:
Have you volunteered at KERA before?   Yes    No
How did you hear about us?
Indicate the reason you are seeking a volunteer position:
(check all which apply):
Personal Fullfillment
Requirements for class/degree
Extra Time
Professional development

TV MEMBERSHIP DRIVE DATES

Yes, I would like to volunteer for the next KERA Television Membership Drive!
Please schedule me for the following shift(s): (Shifts that are crossed out are full)

Monday, November 30
5:30pm-11:00pm

Wednesday, December 2
5:30pm-11:00pm


Saturday, December 5
6:00pm-11:00pm

Wednesday, December 9
6:00pm-11:00pm