General Information Name* Email Phone Number Your Age* Nationality What part of the world are you broadcasting from? Professional/Work Background Awards/Recognitions Gender Are you willing to volunteer in any capacity? Explain Name of Program Length of Program Describe Your Program Website URL Program's major purpose/mission List Host Names Production Is the program currently in production? Date Started? How many episodes? Do you broadcast copyrighted material? What is the Program schedule and local time of Broadcast? What platforms are you currently on? Are you monetized? Have you ever been de-platformed or Censored? Explain Who Produces Your Program? ie. Amateur, Self, Professional, Pre-Recorded, Live Broadcast, Studio, Home, Other Location Do you have a team to help you produce the show? Do you have any sponsors? What Products or Services do you promote? Do you have media consultants? If Yes, List In General- Do you agree (upon receiving written informed notification) to abide by the simple terms of agreement as they currently exist & to follow as faithfully as possible the operational policies of Khalfani Radio Network as they are developed amended & upgraded over time.YesNo