membership applications

APPLY TO BECOME A MEMBER OF IFTA

 SECTION 1: PERSONAL DETAILS
First Name:
 *
Surname:
 *
Are you?:
Male or Female
Date of Birth:
 *
Address 1:
*
Address 2:
Address 3:
Address 4:
County / City:
 *
Country:
*
Telephone:
 * Mobile: *
Work:
 Email: *
Please provide a headshot or passport sized photo.
What level of Irish language do you have? *   Fluent Good Little to none
To qualify you must be one of the following... *

or Resident in Ireland for +3 years
No. of years residency:


Or Non-Irish and Non-Irish residents ONLY

I can demonstrate significant contribution to the Irish industry?

 
SECTION 2: PROFESSIONAL DETAILS
Job Title/Profession:

Employment, are you? (please tick one) *
If in full time employment, please confirm the following:
Company:
Address 1:
Address 2:
Address 3:
Address 4:
County / City:
Country:
Business Tel: Business Email:

 
SECTION 3: PROFESSIONAL BACKGROUND
Section 3a: Work History - Please give details of 4 industry credits and/or positions that you have held, please include a copy of your current CV with this application.
Title of Production Dates Your Position/Role Contact name & tel for production (optional)
* * *
* * *
* * *
* * *
Section 3b: Guilds - Are you a member of any Unions or Professional Guilds? (if so please give details)
Section 3c: Awards & Nominations - Please give details of any significant awards/nominations that you have received:
Awarding Body Category Nomiated for: (Title) Nomination or win
Section 3d: Referees - Please give details of 2 professional referees: (the referee should be familiar with the applicant's professional experience)
Reference 1 – Name: * Reference 2 – Name:  *
Job Title/Profession:  * Job Title/Profession:  *
Contact Tel: * Contact Tel: *
Email: * Email: *


SECTION 4: MEMBERSHIP DETAILS
Type of Membership Applied For (please tick one) *

* If you are unsuccessful with your application for Full Membership, would you like to be considered for Associate Membership? Yes

** Associate Membership has all the benefits of Full Membership without Voting Rights.
Please identify which chapter to which you wish to apply for membership. ONE CHAPTER ONLY ACCEPTED. *

This should be relevant to your predominant area of work experience/expertise. 
Directing  
* Please select ‘Film – other’ or ‘Television – other’ chapters if your area of expertise does not fall within the remit of another Chapter.

Please note, this application does not guarantee membership of the Irish Film & Television Academy.

Applicants must have a minimun of four years professional experience in film or television, and must also demonstrate a professional contribution to the industry.

Upon approval of your application, IFTA will contact you with your Membership confirmation number and to organise payment of your Membership fees.


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Dublin 2, Ireland.
Tel: +353 1 6624120 : Fax: +353 1 6624119