First Name (required) Name as it appears on your driver's license - MAKE SURE THIS IS CORRECT AS THIS IS WHAT WILL BE ON YOUR HAM LICENSE Middle Initial Last Name (required) MAKE SURE THIS IS CORRECT AS THIS IS WHAT WILL BE ON YOUR HAM LICENSE Email (required) Suffix Only if you are Jr, Sr etc. Street Address (street - if PO Box enter number in the field below - NOT HERE) MAKE SURE THIS IS CORRECT AS THIS IS WHAT WILL BE ON YOUR HAM LICENSE - MAKE SURE STREET NAMES ARE SPELLED CORRECTLY P.O. Box Enter a PO Box number ONLY City State use 2 letter state code Zip Telephone Cell phone number - enter NUMBERS ONLY, NO - ( ) or spaces ie 9704703411. This is important as it allows us to call you if there are any errors and to correct them before your results are sent to the FCC, which would otherwise cause your application to be rejected. FRN If you have not already obtained your Federal Registration Number go to http://wireless.fcc.gov/uls/index.htm?job=about_getting_started YOU MUST PROVIDE A FRN PRIOR TO THE TEST If you have a GMRS license then you already have a FRN, make sure you have used that FRN. Callsign Current AMATEUR RADIO call sign if you have one - use capitals - do NOT use special characters. DO NOT use your GMRS or any other call sign. If you had a prior license you MAY be able to get a prior license class restored by just taking a Technician test. We will send you information about this in the registration packet. Please read and then contact us at leatherstocking.radio@gmail.com if you have questions on what you will need to provide at test time. License Class IF YOU CURRENTLY HAVE A HAM LICENSE - use T (Technician) G (General) A (Advanced) OTHERWISE LEAVE BLANK TGA Expiration Date Upgrade License If you are upgrading select TRUE otherwise select FALSE FALSETRUE Change Name Select TRUE if you already have a license and want to CHANGE your name as it appears in the FCC ULS (you may be required to provide documentation). OTHERWISE SELECT FALSE FALSETRUE Change Address Select TRUE is you want to change your address that is currently on file in the FCC ULS - remember you MUST keep a current address on file (see s97.23) OTHERWISE SELECT FALSE FALSETRUE Felony Conviction? Have you ever been convicted of a felony? Effective with all tests conducted after Sept 7, 2017, the FCC now requires this question to be asked. A conviction does not automatically disqualify you from getting a license. When you register you will receive a file called "Leatherstocking Radio Group Class and Testing Instructions" This file will contain more information about this question. FALSETRUE Exam you wish to take: Check all that apply. You may take tests in any order and will receive credit for those you pass. We offer all tests at our test sessions. If you have recently taken a test with anther group and it is not shown in the FCC database please bring a copy of your CSCE so we can give you credit for it. TechnicianGeneralExtra Test/Class Date All tests will be at the Chenango County Grange Hall, 167 CR-32A, Norwich UNLESS OTHERWISE LISTED - ALL TESTS ARE AVAILABLE AT ALL OF OUR TEST SESSIONS UNLESS OTHERWISE INDICATED. When you sign up for a class it includes the associated testing. If a class lists as "CLOSED" it is for a specific group - only sign up if you are part of that group. May 27June 24July 22August 26September 23October 28 Do you need accommodation to take the exam? NOEXAM READLARGE PRINT How did you hear about us? Leatherstocking Radio Facebook PageLeatherstocking Radio WebsiteLaurel VEC Testing Location PageCVARA Facebook PageCVARA ClassARRL Class SearchARRL Test Session SearchWord Of Mouth/Friend