Membership Application by Mail

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By Mail Application for Membership and NJCN Code of Ethics Agreement

Date:
Name:	______________________________________________
Company Name, if applicable:	______________________________________________
Address 1:	______________________________________________
Address 2:	______________________________________________
City:	______________________________________________
State:	______________ Zip code: ________-______
Telephone:	______________________________________________
Fax number:	______________________________________________
E-mail address:	______________________________________________
Website address, if applicable:	______________________________________________ ______________________________________________
Specialty:	______________________________________________
Highest academic degree attained, institution, and major or concentration:	______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________
Experience (years):	______________
Freelancing:	______________
Staff:	______________
Company where you worked last and/or/longest:	______________________________________________ ______________________________________________ ______________________________________________
Title and function on staff:	______________________________________________ ______________________________________________ ______________________________________________
How did you hear about NJ Creatives Network?	______________________________________________ ______________________________________________
Please check all areas in which you are professionally qualified.
Writers		Creatives
Editorial/Feature		Graphic Design/Production
Scripts/Broadcast		Art Direction
Technical		Storyboard/Comps
Public Relations		Illustration
Advertising/Promotional		Photography
Publicity		Film
Other		Audio (Scripts)
		Video
		Lettering/Calligraphy
		Computer Graphics
		Animation