C95 Takeover Application Form

Ever listened to the radio and said..“I could do that!”
Bring it on! You be the DJ…You bring the playlist!

The C95 Takeover…Wednesday nights at 7… You come into the C95 studios and co-host with Tim Stone for one hour! Interested? Fill out the info below!

Email: *

Name (first and last please): *

Age: *

Phone #: *

City: *

Where were you born?: *

Where else have you lived?:

Tell us something interesting about your life / hobbies / interests that we could ask you about for the show. : *

Do you play any instruments or sing?: *

What was the best live music event you've ever attended? Why?: *

Are you currently involved in the music industry? If so, how?:

Please list your 20 favourite songs (with artists) of all time: *

Please give a short sentence as to why you picked 5 of them. (Indicate the number of the song that you are referring to. ex: #7 - was a song our football team always listened to before a big game.): *

Writeup for the Blog: In case people miss the show, but see you on C95.com, give us a 5 line writeup we can post on who you are, what you do, and something most people don't know about you : *

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C95 Takeover Application Form