91.1 WTJU-FM Phone Volunteer Application

Please fill out the application form below as completely as you can. Information will be automatically saved as you enter it so that you may revisit this form at some later time if you wish. You will have one week to complete this form. When you have finished filling out the form and are ready to finalize your application, click "Submit Your Application" at the bottom of the form.
Contact Information
First Name
Last Name
Middle
Local Address, Phone, Email
Street
City
State
Zip
Mobile Phone include area code
Home Phone include area code
Work Phone include area code
UVa Computing ID
Email Address
Web URL
UVa Student Permanent Address & Phone (if different from above)
Street
City
State
Zip
Phone include area code
WTJU Login Credentials
Please choose a username and password you'll use to log in to the WTJU staff website.
Username

Username should be at least six characters long and consist of letters, digits, periods only.
not valid
not avail
Password
Don't set your password till you're ready to submit your application
Confirm Password
Personal Information
WTJU does not tolerate discrimination or harassment based on age, color, disability, marital status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, or veteran status.
You are UVa Undergraduate Student
UVa Graduate Student
UVa Staff
UVa Faculty
UVa Alumnus
Non-UVa Community Member
 
Gender Female
Male
 
Date of birth mm/dd/yyyy
 
Ethnicity African American
Asian
Native American
Anglo/European
Hispanic
Arab
Other