Name * First Name Last Name Additional Identifiers (pronouns, ect.) Email * Phone/Text (###) ### #### Website/Social Media Link http:// Tell us a little about yourself and your work. * If Indigenous, What Nation/Tribe/Band/Confederation or Indigenous People are you enrolled with, descended from, or connected to? * If non Indigenous, tell us about your experience working alongside Native professionals in your field, or any relevant Native community connections/experiences. * Indigenous Creative Industry Reference (if any) * Have you worked alongside a Native in ICSWA or any other creative guild/union? (Provide your personal/professional reference here) Are there any other additional identifiers, backgrounds, or experiences you would like to add? What Region Are You Located In? * Region 1 Oregon, Washington, Montana, Idaho Region 2- California Region 3- New York/Ohio/New Jersey/Oneida Nation in WI/Seneca-Cayuga Nation in OK Region 4- Nevada/Utah/Arizona/New Mexico/Texas Region 5- North Dakota/Minnesota/Wisconsin/Michigan Region 6- South Dakota/Colorado/Nebraska/Kansas/Iowa Region 7- Florida/Louisiana/Mississippi Region 8- Oklahoma Region 9- Georgia Region 10- Alabama/Missouri/Arkansas/Tennessee/Kentucky/West Virginia Region 11- Maine/Massachusetts/Pennsylvania/Rhode Island/Connecticut/Delaware/Maryland/Washington DC/Virginia Region 12- Hawaii Region 13- Alaska Region 14- Puerto Rico Other - Aotearoa/All Other ICSWA Category Industry Department/Specialty/Trade/Craft IAM- Actor/Comedian/Musician IDIR- Director IPRO- Producer ISHOW- Showrunner ISW- Screenwriter IPW- Playwright ICAST- Casting Professional ICAM- Camera, DP, Cinematographer, Videographer IPRM- Production Office, Production Management, AD, PA IART- Art Director, Production Designer, Art PA ISET- Set Dec, Buyer, Dresser, Carpenter, Painter ICW- Costume & Wardrobe Dept. IHM- Hair & Makeup IGE- Grip & Electric ILOC- Locations IAUD- Sound (mix,boom,foley, etc) ISPFX- Special Effects IPROP- Props IGREEN- Greens IFLY- Stunts IMED- EMT, Med, Covid Compliance ISCRIPT- Scripts & Continuity ICFT- Craft/Food Services ITCA- Traditonal or Modern Indigenous Tech, Crafts, Arts ICTY- Urban Community Resource Specialist ITEACH- On-Set Teachers/Educators IORG- Indigenous/Native Community Organization Special Membership for relevant industry organizations Who referred you to ICSWA? * Let us know who referred you so we can thank them! Choose your Membership Plan * Annual Membership Options Volunteer Hour Based Membership Plan Sliding Scale Membership Plan Fully Paid Membership Plan Agreement- By checking this box I agree to fulfill my annual hourly volunteer hours required for membership. I also agree I have filled out this form to the best of my ability in regards to the accuracy and authenticity of the information I have provided. I Agree Thank you!
