Repeater Support HAVE A QUESTION OR NEED TO REPORT A REPEATER ISSUE? Send us a message. I Have A Question About OR Would Like To: *Please select all that apply. At least one selection needs to be made for this form to process.Apply For A Scholarship ProgramBecoming A MemberContact The Board of DirectorsContest Submission (Field Day)Elmers (Mentor)Fall CampoutFeedbackField DayFox HuntingGroups.ioHamfestJamboree On The Air (JOTA)My MembershipNewly Licensed HamParks On The Air (POTA)Presenting At A Club MeetingPromote An EventReimbursement RequestRepeater Question / IssueSomething ElseSubmit An Article To The NewsletterSubscribe to Watts Up This Week (Member)Subscribe to Watts Up This Week (Non-Member)Summits On The Air (SOTA)Taking A ClassThe ClubUnsubscribe to Watts Up This Week (Member)Unsubscribe to Watts Up This Week (Non-Member)Upcoming EventVE / Ham ExamsVolunteeringWebsite Question / Website AccessName *Phone Number *Are You Currently Licensed? *YESNOCall SignLicense ClassTechTech PlusNoviceGeneralAdvanceExtraEmail Address *An email confirmation will be sent.Confirm Email Address *Please confirm that your email is correct.Do You Have A HamClubOnline (HCOL) Account?YESNOWhat Billing Method Are You Using?PayPalSquareI Haven't Gotten That FarWhat Class Are You Inquiring About?EXTRA License Class (Winter)TECHNICIAN License Class (Spring)GENERAL License Class (Fall)TECHNICIAN License Class (Fall)What Repeater(s) Are You Reporting An Issue With?Please Check All That ApplyW6EK 2M 145.430W6EK 1.25M 223.860W6EK 70CM 440.575 (Analog)W6EK 70CM 440.575 (C4FM Fusion)AllStarYSFWires-XEcholinkLive Streaming (Website or Broadcastify)What Event(s) Do You Want To Volunteer For?Check All That ApplyWestern States 100 Training RunsWestern States 100Western States Tevis Cup 100, 70th Anniversary Tevis Cup RideSFARC HamfestSFARC Field DaySFARC Potluck In The Park (Fall)SFARC Hot RF NightsSFARC Fall CampoutElmer / Mentor (Please Select)I Need An ElmerI'd Like To Become An ElmerVE / Ham Exam (Please Select)Take A TestBecome A VEFox Hunt (Please Select)Question About An Upcoming Fox HuntBecoming A Fox TenderHamfest (Please Select)I'd Like To Help With...ElmerTesting TableParkingConcessions (Donuts & Coffee)SecurityHealth and SafetySetup/Take DownOtherPrizesPromotionField Day (I Can Help With)I'd Like To Help With...SetupClean UpHealth and SafetyGet On The Air (GOTA)Make A PresentationWeb Follow-UpI Have A QuestionWebsite Access = Members Only File LibraryWebsite Access = Weekly Net Control AccessWhere Would You Like This To Appear?Please check all that apply.Club NewsletterClub CalendarWebsiteSocial MediaWatts Up (Weekly Email)Event NameIf you are just submitting an article for the newsletter, SKIP.All Day?YESNOStart DateStart TimeHoursMinutesAM/PMAMPMEnd DateEnd TimeHoursMinutesAM/PMAMPMQuestion / Message / Comment / Event Description (Optional)Are you a past or present SFARC member? (Current SFARC members do NOT need to enroll in this list)PAST MEMBERPRESENT MEMBERJUST A FRIENDPrivacy PolicyThe Sierra Foothills Amateur Radio Club takes CCPA and your security seriously and does not sell or share your personal information (ie: name, call sign, or email) with anyone. Your information is used for the sole purpose of communicating club activities and events.Street AddressCityState/ProvinceZIP / Postal CodeWhat college, trade school, or other institution have you been accepted to:Additional schools you've applied to:Your intended major, career, and/or profession:Do you have a family member who is a member of SFARC?YESNOList any family members by name and/or call sign:List any significant high school activities you took part in while in High School:Examples: Projects, Activities, Club Organizations, Leadership Roles, Awards, Honors, etc...List any significant community activities (or internships) you've participated in while in High School:What person(s) influenced you the most during High School?Explain how/why you've selected your chosen vocation:Provide any additional information about yourself to assist the Scholarship Committee with its decision:Applicant ConsentBy checking this box, I confirm that the information provided is accurate and correct.ARRL MemberYESNONickname / Preferred Name (If Any)Any Additional Information You'd Like To Share (Optional):Attachment (Optional)Choose FileNo file chosenDelete uploaded fileMake reimbursement payable to the name entered on this form?If you'd like to enter a different name, click NO.YESNOMake Reimbursement Payable ToYou can enter up to (10) expenses with each submission.DateExpense #1$ AmountExpense #1DescriptionExpense #1DateExpense #2$ AmountExpense #2DescriptionExpense #2DateExpense #3$ AmountExpense #3DescriptionExpense #3DateExpense #4$ AmountExpense #4DescriptionExpense #4DateExpense #5$ AmountExpense #5DescriptionExpense #5DateExpense #6$ AmountExpense #6DescriptionExpense #6DateExpense #7$ AmountExpense #7DescriptionExpense #7DateExpense #8$ AmountExpense #8DescriptionExpense #8DateExpense #9$ AmountExpense #9DescriptionExpense #9DateExpense #10$ AmountExpense #10DescriptionExpense #10Total$Your total reimbursement expenses are listed here: ${calculation-1} Please attach your receipt photo(s) below. Please note that you will not be able to submit this form until your receipt(s) are fully uploaded.Upload ReceiptsPDF's and Photos AcceptedDrag and Drop (or) Choose FilesNotes / Comments / Special Instructions (Optional)Digital SignatureBy checking this box, I agree and understand that by signing the Electronic Signature Acknowledgment and Consent Form, that all electronic signatures are the legal equivalent of my manual/handwritten signature and I consent to be legally bound to this agreement.I ACCEPTTo submit this request, press the SUBMIT/SEND button below. You will receive a confirmation window and an email if your reimbursement has been sent.AI Based Design?YESNOUpload Your Design(s)Drag and Drop (or) Choose FilesNotes About Your Design:I attended the meeting...Please make a selectionIn PersonOnline (Zoom)What did you think of the in-room audio in the conference center?In Person AttendeesExcellentAbove AverageAverageBelow AveragePoorWhat did you think of the viewability of the screen(s) in the conference center?ExcellentAbove AverageAverageBelow AveragePoorThe new location was easy to findAbsolutely AgreeAgreeNeutralDIsagreeAbsolutely DisagreeWill you attend next month’s meeting in person?YesNoScheduling ConflictToo Far AwayDid you have any trouble finding the Cordova room?What did you think of the audio on Zoom?Zoom Attendees OnlyExcellentAbove AverageAverageBelow AveragePoorI felt more included in the meetingAbsolutely AgreeAgreeNeutralDIsagreeAbsolutely DisagreeHow well did you hear audience questions and answers?ExcellentGoodNeutralBadVery PoorWould you consider coming in person to future meetings?Absolutely AgreeAgreeNeutralDIsagreeAbsolutely DisagreeWas the social time zoom friendly?YESNOAny Other Feedback You Have That Can Improve The Experience: SUBMIT/SENDPlease do not fill in this field.
