Template
Kentucky Public Service Honor Roll:

To submit your monthly report, please complete the following form. It will be transmitted to the Section Manager. This form is based upon ARRL Form FSD-210. If the text you are typing is longer than the form field, don't worry as the text will scroll as you type.

By submitting this form, you attest that all information is complete and accurate.
Name:
Callsign:
Email:
Category:
Points Each
Max
Score
Participation in a Public Service Net:

1
40
Handling formal messages (radiograms) via any mode.
1
40
Serving in an ARRL-sponsored volunteer position: ARRL Field Organization appointee or Section Manager, NTS Net Manager, TCC Director, TCC member, NTS official or appointee above the Section level.
10
30
Participation in scheduled, short-term public service events such as walkathon, bikeathons, parades, simulated emergency tests and related practice events. This includes off-the-air meetings and coordination efforts with related emergency groups and served agencies.
5 / hr
None
Participation in an unplanned emergency response when the Amateur Radio operator is on the scene. This also includes unplanned incident requests by public or served agencies for Amateur Radio participation.
5 / hr
None
Providing and maintaining (a) an automated digital system that handles ARRL radiogram- formatted messages; (b) a Web page or e-mail list server oriented toward Amateur Radio public service
10

None
Total: