GLAARG Administration

Greater Los Angeles Amateur Radio Group

Volunteer Examiner Accreditation Request Form

Please complete the following form to be accredited to volunteer to administer examinations with the Greater Los Angeles Amateur Radio Group.

FCC Registered Callsign^*

Name (Read Only)^*

FRN (Read Only)^*

Email^*

Phone^*

First Name (Read Only)^*

Middle Name (Read Only)

Last Name (Read Only)^*

Preferred Name

Form populates address from your FCC record. Please note, updating your address here does not update your FCC record. You may provide a different address to GLAARG than you use for the FCC.

Address^*

City^*

State^*

Zip^*

Country^*

Please choose your time zone^*

Grid Square^*

Languages^*

Mentor (Not required)

Please list the Session Manager/VE that you intend to help, if known. We will match you up post-accreditation with someone to be a resource and a mentor if needed.

FCC Part 97 Rules can be found at www.ncvec.org I certify that I have read and understand FCC Part 97, subpart F, governing Volunteer Examinations, and that I will abide by these rules. I will also abide by the instructions provided by the chairperson of the Greater Los Angeles Amateur Radio Group VEC (GLAARG) verbally, in writing, or as specified as in the GLAARG VE manual.^*

Have you ever had your accreditation revoked by a VEC or had the VEC refuse to coordinate an examination sessions where you were an administering VE?^*

I certify that I am age 18 or older and the person named on this form and that the information provided is true and correct to the best of my knowledge.^*

Please type your name as certification of your electronic signature.^*

If you encounter an error please email ticket@glaarg.org to open a trouble ticket with the error message.
Please also include a screenshot if you have that ability to as well.