Your Name (required)

Your Organization (If applicable)

Street Address

City State —Please choose an option—ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Zip

Primary Phone Number (required)—Please choose an option—HomeOfficeMobileFax

Secondary Phone Number—Please choose an option—HomeOfficeMobileFax

Your Email (required)

I want to: (required)
Produce my own program (please provide details in the comments section)Learn video production skillsVolunteer to work on a specific WHCA ProductionVolunteer to work on any WHCA ProductionSign up for WHCA's Production Crew ExperienceReceive the WHCA email newsletter

Please describe any prior A/V production training or experience:

Tell us about your Interest & Experience in the following areas:
Photography/Videography
Interest: 12345678910
Experience: 12345678910
Any comments about this interest/experience:
Computer (PC/Mac)
Interest: 12345678910
Experience: 12345678910
Any comments about this interest/experience:
Live video switching
Interest: 12345678910
Experience: 12345678910
Any comments about this interest/experience:
Video editing
Interest: 12345678910
Experience: 12345678910
Any comments about this interest/experience:
Design/publishing
Interest: 12345678910
Experience: 12345678910
Any comments about this interest/experience:
News writing
Interest: 12345678910
Experience: 12345678910
Any comments about this interest/experience:
Storytelling
Interest: 12345678910
Experience: 12345678910
Any comments about this interest/experience:
Interviewing
Interest: 12345678910
Experience: 12345678910
Any comments about this interest/experience:
Tell us a bit about what you hope to accomplish through WHCA:

Thanks for filling out this form and we look forward to connecting with you. In the case that it is applicable; here is a spot to upload any appropriate attachments to accompany your submission.

Acceptable attachments:
bmp, doc, docx, gif, jpg, jpeg, pdf, png, ppt, pptx, psd, tif, txt, xls, xlsx

Terms

I understand that my activity with WHCA must comply with WHCA's Policies & Procedures: - Yes

Would you like to also join WHCA's mailing list? * - Yes pleaseNo thank youI already subscribe