KHSU Ascertainment Form
Air Date of Interview or Program:
MM
/
DD
/
YYYY
Title of Show:
Length of Interview (numeric value only):
Your answer
Show Host Name:
Your answer
Guest Name:
Your answer
Topic of Interview or Program:
Your answer
Topic Category
Enter your e-mail to receive a copy:
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Humboldt State University. Report Abuse - Terms of Service - Additional Terms