Please send two copies of this application and one copy of all documentation, plus one page requested bio. Please Print Clearly Name of Applicant

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1 Application for ART Membership: NLAPW, Inc. ART membership includes architects, cartoonists, craftswomen, designers, graphic artists, illustrators, painters, photographers, sculptors, etc. Please send two copies of this application and one copy of all documentation, plus one page requested bio. Please Print Clearly Name of Applicant Address Phone City State Zip Cell Website I am applying for Active Associate International Affiliate (Check one) Signature of Applicant Date I am applying for membership in Branch or I am applying for membership-at-large. Submit three (3) original photos or digital images and proof of sale. A painter, photographer, sculptor, craftsman, graphic artist shall show proof that her work has been selected by a qualified jury in three exhibitions. A photographer shall present proof of her work as creative fine art photography published in books or national magazines. An architect, cartoonist, designer, interior designer, illustrator, visual technologist shall show proof of work with firms or publication of work. A salaried applicant shall submit proof to substantiate professional status and proof of payment. For return of credentials, please include SASE or packaging. NLAPW Sponsor Branch NLAPW Membership Chair Branch (Sponsor and Membership Chair must be active members in good standing.) Address of Membership Chair City State Zip Phone (For office use) Evaluated by Art Credentials Officer National dues are $60 + $15 processing fee. Branch dues State dues (State and Branch dues are not required until membership application is approved.) If applying for an additional classification, there is a separate form with requirements located on website at Date Application Received Check# Initials Date Sent to National Initials Date Received by National Initials Date Certificate Mailed to Membership Chair Initials Revised 10/15/2014 Membership Committee 440a (1)

2 Application for LETTERS Membership: NLAPW, Inc. LETTERS membership includes authors, co-authors, advertising sales promoters, compilers, dramatists, editors, genealogists, lecturers, librettists, lyric writers, periodical writers, photo journalists, poets, press writers, script writers for communication media or motion pictures, research workers, musicologists, etc. Please send two copies of this application and two copies of all documentation, plus one page requested bio. Please Print Clearly Name of Applicant Address Phone City State Zip Cell Website I am applying for Active Associate International Affiliate (Check one) Signature of Applicant Date I am applying for membership in Branch or I am applying for membership-at-large. Submit title of one book and ISBN number, or titles of 3 published articles or poems and proof of payment or royalty statement (ex. canceled check, invoice, Amazon statement, etc.), plus one page bio. DO NOT SEND original printed books, chapters, summaries or synopsis, articles or poems. List title of book, ISBN number or list titles of 3 articles or poems. 1. TITLE CATEGORY ISBN # Publisher/Purchaser Proof of Payment 2. TITLE CATEGORY Publisher/Purchaser Proof of Payment 3. TITLE CATEGORY Publisher/Purchaser Proof of Payment NLPW Sponsor Branch NLAPW Membership Chair Branch (Sponsor and Membership Chair must be active members in good standing.) Address of Membership Chair City State Zip Phone For office use) Evaluated by Letters Credentials Officer National dues are $60 + $15 processing fee. (Check(s) should total $75.) Branch dues State dues (State and Branch dues are not required until membership application is approved.) If applying for additional classification, there is a separate form with requirements located on website at Date Application Received check # Initials Date Sent to National Initials Date Received by National Initials Date Certificate Mailed to Membership Chair Initials Revised 9/15/2014 Membership Committee 440a (2)

3 Application for MUSIC - DANCE Membership: NLAPW, Inc. MUSIC membership includes composers, arrangers and dance choreographers. Please send two copies of this application and one copy of all documentation, plus one page requested bio. PLEASE PRINT CLEARLY Name of Applicant Address Phone City State Zip Cell Web site I am applying for Active Associate International Affiliate (Check one) Signature of Applicant Date I am applying for membership in Branch or I am applying for membership-at-large. A Composer shall submit (3) three original published or unpublished compositions or arrangements, one of which has been commercially published or given professional public performance. She shall provide evidence of familiarity with the principles of music by means of scores from which a performance could be made. A score should duplicate a tape, CD, or Mp3 recording submitted. For songs, the melody and full harmonic accompaniment shall be legibly scored. Salaried composers or arrangers shall show proof of payment. The applicant submitting an arrangement shall send a copy of the original and the composer s permission if the composition is not in the public domain. A choreographer shall submit recordings by notation (Labanotation, Benesh or other currently accepted systems) film, videotape, or digital recordings of three (3) works, choreographed and sold or performed with verification of public performance of professional significance. For return of credentials, please include SASE or packaging. NLAPW Sponsor Branch (Sponsor and membership Chair must be active members in good standing.) NLAPW Membership Chair Branch Membership Chair Address City State Zip Phone (For office use) Evaluated by Music Credentials Officer or Dance Credentials Officer National dues are $60 + $15 processing fee. Branch dues State dues (State and Branch dues are not required until membership application is approved.) If applying for additional classification, there is a separate form with requirements located on web site at Date Application Received check # Initials Date Sent to National Initials Date Received by National Initials Date Certificate Mailed to Membership Chair Initials Revised 9/15/2014 Membership Committee 440a (3)

4 Application for Added Classification or Status Change NLAPW, Inc. Name of Applicant Name of Branch Address City State Zip Phone Cell FAX Website I am currently a member in ART LETTERS MUSIC applying for an added classification in ART LETTERS MUSIC (check appropriate one on each line) or I am currently a member and am applying to change my status to Active from Associate or International Affiliate. Instructions for Application or Change of Status Fill out this form, attach a check for $15 for Processing Fee and complete the Application Form which applies to your added classification. This form can be found at under Membership. As you fill out your specific Application you will see the wording requesting a Sponsor. If you are a Branch Member or Associate or International Affiliate you will not need to have a sponsor as you are already known to your Branch. If you are a Member-at Large, you will need to follow the above instructions and then send it directly to that National Credentials Chair. Revised 9/15/2014 Membership Committee 440b

5 Information and Instructions for Applicants for Membership; NLAPW, Inc. Types of Membership Active: A woman who is a citizen of the United States and meets the qualifications under a specific classification; Arts, Letters, Music, including payment for original work of professional standard. Associate: A woman with all the qualifications for Active Membership, except payment for original work need not have been received. Associates have all the privileges of Active membership except they may not hold national office, or the branch offices of president or first vice-president. International Affiliate: A woman who meets the qualifications for Active or Associate membership but is not a citizen of the United States. Member-at-Large: A woman who meets the requirements for Active or Associate, but cannot participate in branch activities. A new member may apply directly to the national member committee for admission or a branch member may transfer. Student membership: May be acquired by a woman who is currently enrolled in a college or university program and is applying herself in a category of one of the three classifications; Art, Letters, or Music/Dance Composition. Qualifications, responsibilities, and procedures are detailed in the standing rules of the National Board of Directors. Qualifications for Membership Please see the bylaws of the League, ARTICLE III MEMBERSHIP, section 2 Application for membership in a branch must be sent to the appropriate Credentials Officer by the branch membership chair (include contact information). Please send 2 copies of the application and one copy of all documentation. A resume or biography would be appreciated. Applications for membership-at-large, and all applications for branch membership sent by branch membership chairs shall be accompanied by documentation of original work and other credentials as required by the bylaws. For return of credentials, send appropriate wrapping and adequate postage. Applications must be sent by the branch membership chair directly to the following CREDENTIALS OFFICERS: Art memberships send application, check for $75, and credentials to: Linda Spencer, P.O. Box 1707, Tavares, FL Letters memberships send application, check for $75 and credentials to: Nancy Jurka, P.O. Box 1276, Palmer Lake, CO Music (Composition in Music and Dance) memberships send application, check for $75, and credentials to: Nancy Bloomer Deussen, 433 Sylvan Ave. #44, Mountain View, CA

6 Application for STUDENT Membership: NLAPW, Inc. Please see Standing Rules Form 449 on website regarding National Student Membership PLEASE PRINT CLEARLY Name of Applicant Address Phone City State Zip Cell FAX Website I am applying for Student Membership in Art Letters Music (Check one) NLAPW Sponsor Endorsed by (ACTIVE member of NLAPW and the Branch to which you are applying) Name of Institution in which you are currently enrolled Name of Branch to which you are applying Letter of Reference attached Name Title and Relation to Student CREDENTIALS: (1) Title Medium publications/exhibits/performance (2) Title Medium publications/exhibits/performance (3) Title Medium publications/exhibits/performance Record for Branch Membership Committee: Signature of Branch Membership Chair Phone Date of Submission Date of Evaluation Student National membership is $20 + $15 processing fee. Branch dues (mark paid) Date Application Received Check# Initials Date Sent to National Initials Date Received by National Initials Date Certificate Mailed to Membership Chair Initials Revised September

7 Standing Rules RE: National Student Membership In considering an applicant for student membership, the branch to which she is applying must determine that the candidate demonstrates commitment to her discipline and meets the following criteria. 1. She must submit a letter of reference from a professional in her field who may or may not be her sponsor. Both a sponsor and an endorser are required, as for other memberships. 2. She must meet the qualifications under her specific classification, Art, Letters, Music, except that payment for original work need not have been received. 3. She must submit credentials, national and branch dues, processing fee and signature of approval by the membership committee of the branch in which she will be a member. An applicant for student membership in a branch must be a female, 16 years old or above, and must be currently enrolled in a college or university program in the field in which she is applying. Credentials required are submission of 3 works completed within a two-year period. In ART, acceptance in exhibits juried by gallery personnel or instructors in an art department qualify. In LETTERS, student publications qualify. In MUSIC and DANCE COMPOSITION, student performance of compositions qualifies. April p.1

8 The National League of American Pen Women, Inc. Application for Transfer Please circle one: Branch to Branch Branch to Member-at-Large Member-at-Large to Branch Name Address City State Phone Cell Fax New Branch or MAL Signature Date Step I. Sending Branch Treasurer (or National Headquarters for Member-at-Large) should fill out this statement: I, of the branch or National Headquarters for MAL certify that is a member in good standing with dues paid through (date) Signature of Treasurer Date Step II. Receiving Branch Treasurer (or National headquarters for Member-at-Large) should fill out this statement: I, of the branch or National Headquarters for MAL certify that is transferred to the branch and is received as a member in good standing with dues paid through (date) Signature of Treasurer Date To be a member in good standing, the member s dues must be paid for the current fiscal year. The new By Laws require a processing fee for transfer in the amount of $ Please forward your completed form with payment (no cash please) to National Headquarters. National League of American Pen Women, Inc Seventeenth St., NW Washington DC

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