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ARECC Field Classroom Application

Activity

Starting Date of Classroom: Month     Day     Year    

Course:

Contact Person for this Classroom

Name:    Callsign:

Street Address:

City:    State:    ZIP:

Day Telephone:    Night Telephone:

Email:

Instructor Information

Each instructor must be a registered Field Instructor (CI)

Instructor

Name:    Callsign:

Street Address:

City:    State:    ZIP:

Day Telephone:    Night Telephone:

Email:

Classroom Location Information

Structure/Building Name:

Street Address:

City:    State:    ZIP:



Page last modified: 11:32 AM, 12 Mar 2008 ET
Page author: cce@arrl.org
Copyright © 2008, American Radio Relay League, Inc. All Rights Reserved.