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.
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For those who are working or studying in the screen industry but living outside of New Zealand in the Pacific Islands, we have the TAGIMOUCIA membership tier available (Note: This membership will be granted at the discretion of the Komiti).
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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.
Email address *
First Name: *
Last Name: *
Contact Phone Number: *
Address: *
Company:
Ethnicity/Ethnicities - Please include your villages if known: *
Are you a NZ Citizen or Resident? *
Occupation(s): *
Select your age group: *
Membership Tiers & Fees*:
MEMBERSHIP FEES:
All membership fees will not be due until THREE months from the date of your application.
Membership fees are to be made via bank transfer. Please see details below:

Bank Name: Pacific Islands Screen Artists
Bank Account Number: 38-9022-0386662-00
Please use your INITIALS & LAST NAME as reference.

MEMBERS BASED OUTSIDE OF AUCKLAND:
Members based outside of Auckland have a 25% discount on the membership fees given below.

If you are applying for the TAGIMOUCIA membership tier, your application will be reviewed by the Komiti and granted at their discretion. They will contact you directly for any additional information that is required.

*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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