Membership Bursary Application Form 2011/2012

Membership cycles are annual and commence immediately after the mid-year AGM till after the following years AGM.

Membership Terms & Notes:

• By being a DFA member you agree to abide by the DFA's constitution.
• All members who renew (no matter what time of year they renew), as well as new members who pay after 01 July and before 31 December of a year will pay 100% of the annual membership fee and their membership will expire again at 01 July of the following year or just after the AGM which ever is the later.
• New (first time) members who join and pay after 01 January of a year and before 01 July will pay 50% of the annual membership fee, but their membership will still expire by 01 July of that year, at which time they will need to renew again.
• Membership renewal fees will be invoiced annually to all members (after the member first joins), by the incoming board.
• Membership will fall due immediately to continue to qualify as a member of the organization.
• If a member enjoyed a BURSARY Membership in a previous year, they will need to re-apply for a BURSARY for the following year via the same form or enter a film into "My Town" or pay for membership.
• The DFA is VAT and TAX exempt due to its NPO status, but you may claim certain NPO contributions in your tax.

First Name Of Individual:		Last Name Of Individual:
Contacts:		Work Phone:
Cell:		Home Phone:
Fax:		E-mail:
Web Address:		Skype:
Postal Address:		Physical Address:
City:		City:
Province:		Province:
Code:		Code:
List the information that you would like to be confidential:
In no more than 150 words, please write a statement of motivation: Why do you believe that you are a suitable candidate for a membership bursary? Why do you want to make documentaries and what type of stories would you make? What would you contribute to the DFA?
Work Profile & Industry Achievements – if applicable:
Send us a clear face picture of yourself: This is used for the DFA Members Directory.	Send a picture of yourself to treasurer@docfilmsa.com. Please be sure to add your name with the picture so that we are able to identify who the picture belongs to.
	While this is voluntary, we kindly request you complete the following two questions as they give us a good overview of transformation and balance in our industry sector. DFA is committed to transformation of our sector, and regularly report on the combined statistics of our membership to various government departments and SASFED. This will never be used with you or your records personally, and we hope you understand the reasons for requesting this information.
Race:	I rather not say Black White Coloured Indian Other	Gender:	I rather not say Male Female
Enter random code to validate form:
	I confirm that the above information is correct and understand that the information I supplied will never be published or disclosed to any third party. It is to be used by the DFA ONLY to assess membership credibility and for contact purposes. I am however happy for the DFA to use this information when printing their members directory.
	Optionally the Form can be downloaded below: Download .doc here Download .PDF here

Sasfed Member Organisation, NPO Number :51-722, National Association Founded 2007