VE Application
Are you 18 years old or older? *
Have you ever been disaccredited by another VEC? *
Has your license ever been revoked or suspended? *
Have you ever been convicted of a felony? *
Do you agree to abide by the rules and regulations governing volunteer examiners as stated in Federal Communications Commission Part 97 -Amateur Radio Service and the LARC VEC policies, procedures and instructions provided to its VE teams? *
Print name shown on license. *
Your answer
Call Sign *
Your answer
License Class *
Primary Phone# *
(This is the phone you’ll most frequently answer)
Your answer
Secondary Phone#
Optional
Your answer
Tertiary phone #
Optional
Your answer
Email *
Your answer
Signature *
Please enter your full legal name. By signing below you agree are agreeing to the terms set forth, and that all the information provided is true to the best of your knowledge.
Your answer
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