Municipality/School District        

County

Address

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Zip Code

Municipal Building Phone Extension

Municipality Administrator/School Official

Clerk

Cable Provider

Does your school system operate its
own television station or channel?
Yes No

School Contact Person
School Contact Phone

Does your municipality operate its own television station or channel? Yes No
(If you answer no to this question please fill out section 1 if you answered yes please fill out section 2)

SECTION 1

Do you receive another municipal station? Yes No

From what municipality does it originate?

Does your municipality provide community notices for airing on TV? Yes No

Where are they sent?

Do you video tape any community, government or school meetings or events?
Yes No

Where are they sent?

Do you have any plans to establish your own TV Station? Yes No

Contact for additional information:
Name
Phone

SECTION 2

Station Name:
Call Letters
Channel

Do you air a bulletin board or community notices? Yes No

Who maintains the bulletin board?
Station Employee
Volunteer
Municipal Employee

Do you air programs? Yes No

Who airs these programs?
Station Employee
Volunteer
Municipal Employee

IF station is staffed:

Station Manager Name: Phone:

Is position Full Time Part Time.

How many hours per week? Salary:

Do you have volunteers? Yes No             How Many:

What is your airing format?
VHS
SVHS
DVCPRO
DVCam
Mini DV
DVD
Server (file-based playback)
Other

How many hours of programming do you run a day?

How much of your programming do you produce?

How much of your programming do you get from outside?

Who supplies your outside programs?

Would you like to share your programs with other stations? Yes No

Would you like to receive programs from other stations? Yes No

Did you know that there is an organization of cable access stations in New Jersey?
Yes No

Would you like information on the Jersey Access Group? Yes No

Would you like to join the Jersey Access Group? Yes No

Please enter any comments or explanations: