2024 G.E.M.A. Membership Application - Affiliate (North America)

G.E.M.A. Affiliate Membership Application

Thank you for your interest in joining our community. We look forward to discovering what you will bring to our vibrant network. We aim for a transparent application process. Please allow up to seven business days for our review. If you need assistance, please contact membership@gema.org.
Name*

First NameLast Name
What are your pronouns?
Email*
example@example.com
Primary Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Company*
Business Email*
example@example.com
Personal Information

As part of our evolution, we are deeply committed to promoting diversity, equity, and inclusion. To support us on this journey toward our goals, we kindly ask for your assistance in completing a demographic survey. This survey is an essential part of our efforts to gain a deeper understanding of the experience of membership and enhance our membership processes. Your participation in this demographic survey is entirely voluntary and is based on your opt-in consent. All questions within the survey are also voluntary. Should you decide to participate, please be assured that the information provided will be used solely to improve our programming and processes. Thank you for your valuable contribution as we strive to create a more inclusive and supportive community for all.
Age
Birthdate

MonthDayYear
Date
Race/Ethnicity*

AsianBlack/African AmericanHawaiian or Pacific IslanderLatino/aNative AmericanWhitePrefer Not to SayOther
Is there anything else you would like to include about your Race/Ethnicity?
How would you describe yourself?*

MaleFemaleGenderqueer/Non-BinaryTransgenderPrefer Not to SayOther
What are your preferred pronouns?*
Do you consider yourself to be LGBTQ+?*
What language(s) do you speak?*
Parental Status*
Do you identify as a Protected Veteran?*
Accessibility Requirements:

Our organization is committed to providing an inclusive and accessible environment for all individuals. To ensure we meet your specific needs and offer the best possible experience, we kindly request you to inform us of any accessibility accommodations or adjustments that would support your full participation and comfort.
Accessibility Requirements:
Role Specific

In order to better understand your professional expertise and areas of interest, we kindly request a detailed description of your current role. This information is crucial for us to gauge the scope of your responsibilities, the skills you employ in your position, and the particular areas where you excel. Additionally, this insight into your role will enable us to assess how we can enhance your area of expertise and meet your interest.
Chapter Selection

Although our academy is global, please select a regional G.E.M.A. chapter as your primary membership to stay updated on local events and offerings.
Describe Your Role*
How many people have you managed?*
What is your Yearly Income?*
Membership Payment Preference

We provide our members with flexible payment options to suit their preferences. You can choose from three membership payment plans: monthly, yearly, or take advantage of our special launch pricing for a two-year subscription at a discounted rate. This allows you to customize your membership based on your needs and enjoy the benefits of our platform with the payment plan that best fits your lifestyle.
Please select your preferred payment option*
Please select a Regional G.E.M.A. Chapter*

North AmericaLatin America (Mexico, Central America & South America)Europe (not inclusive of the UK)UKAsiaAfrica/Australia - New Zealand
Professional Experience, Recognition, Awards

Please include supporting materials for your application.
Resume (not required, but highly encouraged)

Cancelof
LinkedIn URL*
Portfolio Link
Please include any applicable awards, nominations, or credits
Professional Reference

If you wish to provide a reference, please feel free to include their contact information. While not required, a reference can be helpful for us to gain additional perspectives on your qualifications and experiences.
Reference Name
Reference Email Address
example@example.com
Relationship to Reference
Referrals
If you were referred to our Academy by a current member, please provide their Name.
Referral Email
example@example.com

Membership Application Payment *

Application Fee

$45.00

Enter coupon

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Should be Empty:

G.E.M.A. Affiliate Membership Application

Personal Information

Role Specific

Chapter Selection

Membership Payment Preference

Professional Experience, Recognition, Awards

Professional Reference

Referrals