Kentucky Public Service Honor Roll Report:

To submit your monthly report, please complete the following form. It will be transmitted to the Section Manager and Section Emergency Coordinator. A copy of this form will be returned to you. 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.

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
per
hour
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
per
hour
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:
 
I attest that by submitting the information above that it is accurate, and documentation of my activity reflecting actual participation exists.
Name:
Callsign:
 
Email:

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