Membership Application

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Please note, this application form is for new FWA members only.

If you have previously been a member of the FWA and would like to renew your membership, please go to secure.fwa.org/forms/membership_renewal.

To learn more about the membership levels and qualifications, visit fwa.org/membership

Contact [email protected] for assistance.

If you are a student or in transition, please complete the below based on your intended or most recent employment.

Include a submember in your membership registration

New Full Membership

New Associate Membership

New Student Membership

Check this box to automatically renew your annual membership. Your payment information will be securely saved and you will be charged annually.

Secure Payment

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First Name *

Middle Name

Last Name *

Suffix

Preferred Name (if different than first name)

Primary Email *

All FWA emails will be delivered to this email address.

Home or Mobile Phone *

Address Line 1 *

Address Line 2

City *

State/Province *

Zip/Postal Code *

Country

Mailing Address Type *

LinkedIn URL

Providing your LinkedIn is required for membership approval. If you are not prepared to share at this time, you may provide this at a later time to [email protected].

Personal Website URL

Not required, but can be added to your profile if you would like to share with other members.

Facebook URL

Not required, but can be added to your profile if you would like to share with other members.

Twitter URL

Not required, but can be added to your profile if you would like to share with other members.

Are you a military veteran? *

Yes

Secure Payment

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Company Name (current employer)

Leave blank if student/in transition.

Job Title

Leave blank if student/in transition.

Secondary Job Title

Work Phone

Work Phone Extension

Leave blank if not applicable.

Secure Payment

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Highest level of education completed *

Undergraduate College, Graduation Year, Major, and Degree

First Grad School, Graduation Year, Major, and Degree

Second Grad School, Graduation Year, Major, and Degree

Are you currently an international student? *

Yes

Secure Payment

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Profession *

If you selected other above, note your profession here.

Job Classification *

Industry Classification *

Years of Work Experience *

Resume/CV

Professional History

If a CV/Resume is not available, please a BRIEF professional statement and professional history below. Include firm, title, brief job description and start/end dates.

Accreditations

Leave blank if not applicable.

If you are currently on a board or have been in the past, please indicate which type(s). Leave blank if you do not have board experience.

Corporate

Non-Profit

If you have board membership experience, list company/organization names here.

Business Clubs and Affiliations

Community Involvement and Activities

Secure Payment

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How did you hear about us? *

If college, please note which school. If other, please provide more information.

If you were referred by someone, please provide their name here.

Secure Payment

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Include a submember

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Choose Existing Contact(s)

Membership Level *

Check this box to automatically renew your annual membership. Your payment information will be securely saved and you will be charged annually.

First Name *

Last Name *

Add {{subMemberDisplayName}}

Secure Payment

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

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Discount Code

Code:

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Order summary

Subtotal {{formatAmount(orderSummary.subtotal)}}

Discounts -{{formatAmount(orderSummary.discounts)}}

Total {{formatAmount(orderSummary.total)}}

Data Privacy & Consent

Secure Payment

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Card

or enter your card details below

Cardholder First Name *

Cardholder Last Name *

Cardholder Email

Card *

Billing address is the same as mailing address

Address Line 1

Address Line 2

City

State/Province

Zip *

Country

Data Privacy & Consent

Amount:

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Secure Payment

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About the FWA
Programs
Events
News
Career Center

Contact us:
[email protected]
212-533-2141

FWA of New York, Inc.
580 Fifth Avenue, Suite 820
New York, NY 10036-4762

Membership level allows for a maximum of {{term.subMemberAllowed}} submembers.

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No contacts.