Join PISA - Membership Application Form*
Please take the time to fill out this form to apply for a membership with the Pacific Islands Screen Artists (PISA) Group.
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Membership Eligibility:
To be eligible to apply for PISA membership:

   ● You must be of Pacific Islands descent working or studying in the NZ Screen Industry
   ● You must over the age of 18
    
For those who are working or studying in the screen industry but living outside of New Zealand we have the TAGIMOUCIA membership tier available.

Who are the Komiti?

   ● The Komiti are the board members of PISA who run and oversee PISA activities.

If you are unsure if you are eligible to apply for a membership with PISA please get in touch with us via email info@pisa.org.nz

*This document is a strictly confidential document and solely for the use of applying for membership with PISA and will not be reproduced or disclosed for any other use without the applicant's prior written consent.
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Email *
First Name: *
Last Name: *
Contact Phone Number: *
Address: *
Company:
Are you a NZ Citizen or Resident? *
Where are you based? *
Other - Please specify here
Which of the following best describes you (select one): *
Which of the following best describes your ethnicity? You can select more than one group: *
Required
Please specify here - Include your villages if known: *
Occupation(s): *
Select your age group: *
Membership Tiers & Fees*:
MEMBERSHIP FEES:
All membership fees will not be due until One month from the date of your application.
 
Membership fees are to be made via bank transfer. Once your membership is confirmed you will be sent payment details.

*Membership Fees enable PISA to provide workshops and events with Screen Industry professionals.
Please select the membership tier that applies to you: *
Required
Please answer the questions below and help our Komiti get to know more about you:
Are you a member of any other screen guilds? If so, please list them below:
What barriers/limitations are you currently facing in the Screen Industry? *
What events, projects and activities would you like to see PISA delivering? *
What is your biggest achievement in your Screen Industry journey thus far? *
What is your ultimate dream/ambition in the Screen Industry? (Don't hold back, speak from the heart and into the keyboard!) *
Have you ever faced any form of discrimination in the Screen Industry? *
Do you have any other comments/ideas/feelings you would like to share with the Komiti? *
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