Full Name
Date
Address
Email
Home Phone
Work Phone
Cell Phone
STUDENT MEMBERSHIP CATEGORY
DOCUMENTATION OF ELIGIBILITY
1. Please submit three samples of your work or one sample if it is a book.
2. List your books, articles, and other paid works; please include dates of publication:
3. If applicable, list works that you have self-published:
EMPLOYER
If you are regularly employed by a newspaper or other print media outlet, radio or television station, or electronic media outlet OR if you have been a member of a public relations/advertising/marketing department or firm for more than a year, please provide the name of your company and describe your work there:
PERSONAL STATEMENT AND INTERESTS
Please attach a letter explaining why you seek student membership in the Denver Woman’s Press Club. Tell us how you learned about our organization, what you are hoping to gain from membership, and what you might contribute as a member.
Other areas of interest or any special talents or experiences you could share:
SPONSOR AND ENDORSER INFORMATION*
Name of your sponsor (must be a member of the DWPC)
*If you don’t know anyone in the club yet, just let us know—we’ll be happy to connect you with a sponsor and/or an endorser!
FEES
Please enclose a check covering both the application fee and the club dues (see below for dues)
RELEASE FOR PUBLIC USE of photographs:
Notice of photography, audio and video recording: When you participate in DWPC activities and as a member of DWPC, you enter an area where photography, audio and video recording may and will occur. By participating in DWPC activities, you consent to such photography and recording and to its release, publication, exhibition, reproduction, distribution, and use for news, social media, educational, promotional, advertising, and sale purposes and to its inclusion on and distribution through websites and in hard copy formats (collectively, “Uses”). Participating in DWPC activities you also consent to use of your image and voice, to the extent they appear in audio and/or video recordings and photographs. You waive all rights you may have to any claims in connection with All Uses of recordings and photographs, regardless of the purpose or sponsoring of such uses.
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