Membership Application

Profile Information

Please select a membership type and enter your contact information. Monthly memberships will automatically renew each month.

Membership Level:

Industry - Monthly ($17 monthly dues + one-time initiation fee $135 = $152)

Industry - Annual ($200 annual dues + one-time initiation fee $135 = $335)

Executive - Monthly ($23.50 monthly dues + one-time initiation fee $135 = $158.50)

Executive - Annual ($275 annual dues + one-time initiation fee $135 = $410)

Platinum - Monthly ($52 monthly dues + one-time initiation fee $135 = $187)

Platinum - Annual ($600 annual dues + one-time initiation fee $135 = $735)

Leadership Circle - Monthly ($105 monthly dues + one-time initiation fee $135 = $240)

Leadership Circle - Annual ($1,200 annual dues + one-time initiation fee $135 = $1335)

Select if you would like your annual membership to renew automatically.

Former NYWIFT members do not need to re-apply. Please contact membership@nywift.org if you are a past NYWIFT member and would like to reactivate your membership.

First Name: Last Name: Email: Email 2: Web Site: IMDb: Instagram: LinkedIn: Company: Job Title: Home Phone: Phone 2: Phone 3: Home Address: City: State: Country: Zip: - Contact Information you would like us NOT to publish

Address

Cell Phone

Email Address

Facebook

Fax

Home Phone

Office Phone

Twitter

Referred by Mandatory One line bio for NYWIFT new member announcement (280 Character Limit) Professional Credits Resume/Bio Awards

Professional References

List two professional references in the film, television or new media industries, with at least four years beyond entry level in the business, and whom you have worked with. Please be sure to notify your references that they will be contacted. If you have any questions, email: membership@nywift.org, or call (212) 679-0870 x23.

Reference 1 Name Reference 1 Email Reference 1 Phone Reference 1 Cell Phone Reference 2 Name Reference 2 Email Reference 2 Cell Phone Reference 2 Phone

Committees

Participating in a committee is a wonderful way to meet and work with your fellow dynamic members of NYWIFT. Committees form the engine of our association and play an important role in achieving an effective, progressive organization.

Committees

Professional Groups

Let us know what other professional groups and organizations you belong to.

Professional Groups Other Professional Groups

Skills

If you think there is a category we should add to this list, please contact membership@nywift.org.

Occupation (Please select a maximum of three from the following) Business Type (choose up to 3) Content Type (choose up to 3)

Demographic Information

NYWIFT is collecting the following information so that we can accurately report demographic information to our Corporate Partners and government funders. This information will be kept strictly confidential and will only be used in the aggregate. Thank you for helping us tell the story of who we are.

Birth Date: / / Gender: Pronouns

She/Her

He/Him

They/Them

Race Marital status Veteran? Annual Income Do you identify as a member of the LGBTQ+ community? Are you a parent? Are you the primary caregiver to an elder family member? What is the highest level of school you have completed or the highest degree you have received? Which of the following best describes you?

Student

Educator

Freelancer

Full time

Part time

Seasonal Worker

Business Owner

Not currently employed

What foreign countries have you worked in? Other Countries Worked In What foreign languages are you fluent in? Other Languages Spoken

Conditional membership: Membership requires approval by New York Women in Film & Television before you can begin to receive membership benefits. Please keep in mind that as part of the membership application process, your application will be sent to the Board of Directors for approval. Our Membership Assistant will reach out to you shortly with further information regarding your application.

Would you like to support NYWIFT with an additional donation?:

Neon CRM by Neon One