KCRW Student & Employee Membership
Enter your information here and we'll get you signed up for a one-year complimentary SMC student or employee membership to KCRW.* In the next few days, we'll send you an email to get you started! We're excited to welcome you to our community of KCRW members.

A valid SMC email address is required to activate your membership.

*Current KCRW members are not eligible for a complimentary membership. Thanks for your support!
Sign in to Google to save your progress. Learn more
Name (First and Last) *
SMC Email *
Are you a SMC student or employee? *
Phone Number
Street Address
City
State
Zip Code
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of KCRW.

Does this form look suspicious? Report