Listener Advisory Panel Registration



Note: Federal law prevents your registration if you are under 13 years of age. Thank you!

Simply fill in the blanks (all blanks are required) and you'll be registered to give us your opinions. It's that easy!

1
Please Select a Username (user name can only be one word)
Try to use something a little unique like your first and last name combined, your hobby, birthday, etc.
2
Please select a password
3
Your first name
4
Your last name
5
Enter your email address
6
Gender
Male
Female
7
Your birthdate
Month Day Year
8
Your zip/postal code
9
How do you classify your race/ethnic background?
Hispanic
Asian/Pacific Islander
Caucasian
African-American
Native American
Other
Prefer Not To Answer
10
Which of these radio stations have you listened to at least once in past week? (select any/all that apply):
95.1 SHINE-FM
WGTS 91.9 FM
WAVA 105.1 FM
WLIF 101.9 FM
WPOC 93.1 FM
11
Which station did you listen to most in the past week? (choose only one):
95.1 SHINE-FM
WGTS 91.9 FM
WAVA 105.1 FM
WLIF 101.9 FM
WPOC 93.1 FM
12
How much time do you spend listening to the radio in typical day?
None
1 hour or less
More than 1 hour
13
We just want to verify that you are signing up to occasionally receive e-mail invitations to participate in WRBS research studies. Note: Your information will not be sold to anyone else, nor will you be solicited by us, apart from the e-mails you receive asking about your opinions on music and programming.
Yes
No