Community Advisory Board Application

Join the WTTW Community Advisory Board by filling out the form below.

First Name: *

Last Name: *

Affiliation/Occupation: *

Address (Home): *

Address 2 (Home):

City: *

State: *

Zip Code: *

Email: *

Home Phone: *

Work Phone:

Cell Phone:

Age: *

Gender: *

Ethnicity: *

What brought you here?: *

Why do you wish to become a volunteer advisor for WTTW public television?

Favorite WTTW Program: *

What is your favorite program on WTTW?

Least Favorite WTTW Program: *

What is your least favorite program on WTTW?

I want to see more of...: *

What kind of programming would you like to see more of on WTTW?

Leave this field blank