Name:

Address Line 1:

Address Line 2:

Address Line 3:

Address Eircode:

Date of Birth (dd/mm/yyyy)

Date of Birth (dd/mm/yyyy)

Email Address:

Phone Number:

Environment
Agriculture/Rural
Business/Economics
Community News
Sport
Music
Current Affairs/Politics
Social Issues
Art
Wildlife
History/Heritage
Education
Film
Health
Documentaries
Storytelling
Folklore
Gardening
Outside Broadcasts
Literature
Parenting
Drama
Spirituality/Religions
Other (please specify)

Do you have any experience in radio?

I agree to the terms below and confirm I am over 16 years old.

I consent to Raidió Corca Baiscinn (RCB) storing and using the information I submit in order to respond to my inquiry.
RCB does not sell or transfer personal data to any external data processors. All information is used
solely by RCB to process and respond to the submitted query.

By ticking the box below, you confirm that you are over 16 years of age. If you are under 16, a person holding
parental responsibility must submit the query on your behalf.

You have the right to request the immediate deletion of your personal data at any time. To do so, please use our contact form or reach out directly.