Students Honest Opinions on True Subjects
DO YOU THINK YOU HAVE WHAT IT TAKES BE A HOT S.H.O.T? SIMPLY FILL OUT THE APPLICATION AND EMAIL IT TO: Taylorbryant@clearchannel.com 
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Hot Shots
(Students’ Honest Opinions on True Subjects)
Application for Membership
Please fill out the following information and return this form to Clear Channel Radio – Hot 105 (Attention Taylor Bryant c/o Public Service Director),
School Attending: ____________________________________
DOB: ___________
Address: ________________________________________________________________
Email: ______________________________________ Phone: _____________________
Parents name:
_____________________________________________________________
Parent/ Emergency contact phone: ____________________________________________
G.P.A (must be at less 2.0) All applicants will be required to furnish an official High School Transcript
Why do you want to be a member of the Hot S.H.O.T.S?
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What qualities would you bring to the board that will help make it success?
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Have you ever worked on a board, committee or other group project? If so explain what it was and what you did. _____________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________
Are you involved in any extra curricular activities? If so, what leadership positions, if any, do you hold? _________________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________
What are three main issues that are of serious concern to you as a teenager that you feel should be publicly discussed and could benefit other students?
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Race/Ethnicity:
White
Black
Asian or Pacific Islander
Native American
Hispanic
Sex: Male Female
Parental Consent (required): I am aware that my teen is applying to join the Hot SHOTS at Clear Channel Radio.
Signature of parent/guardian:
________________________________________________ Date:_______
I give Clear Channel Radio permission to take photographs of my teens, or photographs in which my teens may be involved with others, for the purpose of promoting the Radio station. Photographs may be posted on the Hot 105 web pages, local newspaper or through social networking.
Signature of parent/guardian:
________________________________________________ Date:_______
© 2012
