Ground Zero Record Pool Application
Name D.O.B. January Feburary March April May June July August September October November December Month 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Day Year 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991
Address
City State Zip Country
Telephone
Email Web Site
Type of DJ (check all that applies) Mobile Radio Club Mix CD
DJ Name Years Spinning Music Format CD Vinyl Both
When were you established? January Feburary March April May June July August September October November December Month 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Day Year 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002
Please list companies
How many events do you perform? Weekly 0 1 2 3 4 5 6 7 Monthly 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
How many events did you perform last year?
Give estimated average audience size?
What types of events do you normally perform? (check all that apply)
Weddings Birthday parties Anniversaries Roller skating parties
Youth functions Singles gatherings Block parties Church functions
Other
Radio Experience
None College Commercial
Years on the air 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 0 Years on current station 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 0
Music style/format
Station call letters
Time on air Day(s)
Estimated listening ship Wattage
*Please give references
Program/Music Director Info:
General Manger Info:
Club Deejay Experience - Social Establishment Information
Name of Establishment
Capacity Video capacity? yes no CD capacity? yes no
Manger(s) Name
How many nights per week do you spin? 0 1 2 3 4 5 6 7
Age requirement Live acts capacity? yes no
Music style / format Years spinning 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 0
Do you spin with another social establishment? yes no
Mix Tape Deejay
Do you create mix tapes or CDs? yes no
Are your mix tapes or CDs for retail sale Promotional Radio
How often do you release a mix tape and / or CD?
More Info:
What type of equipment do you use? (Please include turntables, CD players, mixers, amps, speakers, mics, lighting systems, wattage, etc.)
How large is your vinyl selection? CD selection?
Do you subscribe to trade / music magazines? yes no
What type of Gospel music do you prefer? (check all that applies)
Traditional Quartet Choir Rap R&P House Reggae Jazz
Salsa Latin Urban Meringue Calypso Dance Techno Trance
Imports Top 40 Rock Worship & Praise Contemporary
Are you in another record pool? yes no If so, name
How many pieces of Gospel music do you receive a month?
Are you willing to perform events outside your residential city? yes no
Please list 5 recent references and their telephone numbers
1.
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5.
I agree that the above information I have provided is correct to the best of my knowledge and I give Ground Zero permission to check any above telephone numbers and references. I realize that falsifying information may result to non-acceptant or termination of contract. In addition, I agree with roles and bylaws of Ground Zero. I understand any deviation from said stipulations will be grounds for immediate dismissal.
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