* Required Information
Full Name     *  Call Sign 
Street Address  
City  
* State/Province  
Zip/Postal Code  
Country  
Home Phone  
Work Phone
FAX
E-mail  

           * Age       Sex:    Male   Female



Which ham radio organizations you belong to?
ARRL RAC MARS ARES RACES



Do you check into the net on a regular basis?
Yes No

When do you typically check into the net?
Daily Weekly Weekends Occasionally

Have you ever acted as a relay station for a Net Control Station or
acted in another capacity OTHER than just checking into the net?
  Please describe your activities with this net and how often you participate.



We will not consider applications from stations that are not already actively participating with the net.



Have you made any phone patches for the net?
  Yes   No


If you do not have a phone patch, do you plan to get one?
Yes   No
( We encourage all net control stations to have phone patch capability )



* What days and hours would you be available for net duty?
If you are a shift worker, please indicate it.

 



* Please describe your station equipment and antenna system.

 



Do you understand Latitude and Longitude?  Can you plot positions on a map?
Yes No



Do you speak any foreign languages?
Yes No


If "YES", please list the other language(s) and how proficient you are?

 



Have you read ALL of the information available on the MMSN web site,
especially the Net Controllers Duties?

Yes No



Your current personal status.

Retired Semi-Retired Working



Complete the following:
"I would be a good choice for a net control station because..."





The Net Management expects that, by submitting this application,  you are prepared
to make a serious commitment to the net, it's objectives and it's procedures. 

Be advised that a screening committee will review and make comment to the net management
concerning your application.  You will be contacted by email when a decision is made.

Please Check and make sure you have answered
all of the questions before clicking on the Submit Button



                   
 
  Copyright © 2008
The Maritime Mobile Service Network
All rights reserved
  Last updated: November 25, 2005