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* 1. Your Name

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* 2. Current Contact Information: (Will not be shared or published.)

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* 3. Position(s) held at KRCL: (More than one response is possible.)

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* 4. For the position(s) chosen above, list your title and/or any specific details about the job:

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* 5. How did you come to KRCL?

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* 6. Which KRCL building(s) did you work in? (Check as many as apply.)

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* 7. Roughly what was your time-frame at KRCL? (Example: "12/1979 to Sometime in 1984"; more than one response is possible.)

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* 8. Do you have KRCL-related materials to contribute to the KRCL History Project? (Materials may be scanned, photographed, or copied for the station archive and returned to you.)

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* 9. KRCL branded swag/radiothon premiums:

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* 10. Pictures - of KRCL people, KRCL events, KRCL buildings inside and outside:

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* 11. Audio Recordings:

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* 12. Video Recordings

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* 13. A permanent curated archive for KRCL materials might be created. If so, would you be willing to donate materials to the archive?

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* 14. Personal stories will be collected from a wide range of KRCL people. Would you be willing to write some of your reminiscences and/or be available for an interview? (Submissions may be published.)

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* 15. For the purpose of compiling KRCL's history in anticipation of celebrating the station's 50th anniversary, I consent to the use of the information provided, which may be published.

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* 16. Would you like to join the KRCL History Committee?

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* 17. Do you have questions for us or is there anything else you would like to add?

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* 18. Signed: (Your name)

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