Application to Yankee Clipper Contest Club (YCCC)

                For the DXpedition Award Program

 



 



Applicants Name:                                     Current Age:



                                                                 (minimum age 14)



Address:



 



 



License Class (General or higher):

Please attach a copy.



 



 



Tell us a few words about yourself. (Attach if you wish.) 



 



 



 



 



 



 



 



 



Attach Essay (no more than 300 words)



(Subject: Why I would like to go on a Dxpedition or Why I enjoy contesting)



 



 



 



Attach letter from parent(s) if under 21.  Letter should indicate that 

they would let you go on a Dxpedition if your application is chosen. 

(Please note that if you are chosen for the award, written parental 

consent and a release of liability will be required.).  If over 20, 

a release must be signed.



 



 



 



Please sign and date this application.



 



 



 



 



Submit information to:    James E. McCobb



                          President, YCCC



                          65 Coffin Street



                         W. Newbury, MA 01985