ARRLWeb: ARRL Instructor Registration Questionnaire

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ARRL Instructor Registration Questionnaire

Thank you for your interest in our ARRL Registered Instructor Program. Your registration will allow us to keep you informed about new instructional materials and to share ideas for instruction. We will stay in touch with you by e-mail so please be sure to provide an e-mail address where you would like us to contact you. You can contact us at ead@arrl.org.

Registration will also provide you with a 25% discount on purchases of instructional materials at ARRL’s store. Details about our discount program can be found at www.arrl.org/es/discount.

Please provide the following information:

Name:

Call sign:

Address:

City:

State:

ZIP Code:

Phone:

Alternative phone:

E-Mail:

ARRL membership number:

Please tell us more about your licensing instruction activities:

Do you conduct classes in affiliation with a local amateur radio club:

Yes No

If so, what club:

Date of most recent class:

Date of next class:

Number of classes taught in last 12 months:

Type of instruction:

Technician General Extra

I use these other materials:

My class format is a total of (hours):

Number of session for class:

Each session lasts (hours):

My classes span over (specify how many days or weeks):

Additional information about format:

The cost of my course is:

which includes:

To present a better class I could use help with:

To get my new licensees on the air, I/ my club conduct(s) do the following activity/instruction:

I encourage my students to join ARRL:

Yes No

Comments or questions: