Clone of Membership Application Form 2025

NABJ-PHILADELPHIA - Membership Application

RENEWALS and NEW MEMBERS: Please complete the entire form. Memberships run from January to December. All new memberships and renewals after Nov. 15 will be good for the next calendar year. Questions? Contact nabjphilly@gmail.com.
Name*

First Name and Middle InitialLast Name
Mailing Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
example@example.com
Cell number*
Work number*
Company, Organization Affiliation or School*
Job Title*
Years of Experience; for students, grade rank*
How did you hear about NABJ-Philadelphia?*
Tell us more about yourself (hobbies, career goals, skills, unique talent that you'd like to share) *
Are you a member of NABJ? If not, you can join at nabjonline.org.*

YESNO
Which NABJ-Philadelphia committee would you like to work with:*

Programming/Training (for members & community)Advocacy/Media WatchdogJ-Life (activities outside the normal job)FundraisingSocial Media/PublicityMembershipEducation (scholarships, internships, mentoring & other student-related programming)
Suggest a committee:
NABJ-Philadelphia Privacy Policy: We will not release your membership information, email address or billing information. Membership and billing information are for internal purposes only.
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Full Member
Working journalists, freelance journalists, journalists with at least five (5) years of experience who have moved to positions that are related to journalism, retired journalists who attained five years’ newsroom experience prior to retirement.

$50.00



Associate Member
Persons employed in a media-related profession, college or university professors, and those who have worked and left the journalism field.

$50.00



General Member
Persons who share a strong interest in journalism and the objectives and bylaws of NABJ-Philadelphia and the National Association of Black Journalists.

$65.00



Student Member
Persons who currently are a full-time student at a Greater Philadelphia-area high school or an accredited college or university who is either majoring in print or broadcast journalism, or has expressed an interest in pursuing a journalism career.

$25.00



Total

$0.00

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NABJ-PHILADELPHIA - Membership Application