Membership Application Form
Join the community of Filmpool members by filling out this form! For all questions, please write: director@filmpool.ca
Contact Information
Pronouns
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she/her
he/him
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Full Name
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First Name
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Address
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E-mail :
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ex: myname@example.com
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Date of Birth:
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Accessibility needs (if applicable)
Type of membership
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Full Membership
Student Membership
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Organizational Membership
Organization Name
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Job Title
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Student Membership
Proof of current enrolment in an educational institution (max 2 MB, one pdf, jpg, png, or gif)
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Experience
Artist / filmmaker biography. The Filmpool may use this when publishing news about your work in the future.
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0/250
Years of artistic practice
*
1-2
3-5
5+
Specialization(s)
Director
Screenwriter
Director of Photography
Producer
Technician
Post-production
Actor/Actress
Field(s) of interest
Fiction
Documentary
Experimental / expanded
Animation
Reference
New applicants must submit a reference who can confirm your artistic and professional experience.
Reference's Name
*
First Name
Last Name
Reference's Email
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example@example.com
Reference's Phone
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Please enter a valid phone number.
Relationship to applicant
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ex: Union steward, friend, collaborator, instructor, etc.
Self-identification & mailing list
Voluntary self-identification
Woman
Man
Non-binary, genderfluid
Transgender
LGBTQI2S+
Indigenous (First Nations, Inuit, Métis)
Person belonging to a minority language group
Afro-descendant or person of color
Disabled
Newcomer, immigrant or refugee
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