Student Member Application
  Questions about this application? Send your questions to info@westernoutdoorwriters.org

Name

Business/Agency   Title  

Address    City/State/Zip 

Telephone   (Res)    (Bus)    (Fax)

Home E-Mail    Work E-Mail 

Web Site Address 

Student 

Primary area of expertise. (Select the ONE discipline below which best describes your professional paid involvement in outdoor communications. If it is not listed please type the discipline in the "other" box.)

Freelance writer Freelance photographer Agency I&E officer
Book author Newspaper outdoors staff writer On-air radio/TV broadcaster
Magazine staff writer Newspaper outdoors editor Broadcast producer
Magazine editor Public relations professional Videographer
Publisher Web Master Artist
Public speaker Tourism professional Contributing Editor
Art director Writing or Photographer teacher Student
Other

Additional areas of expertise. (Check all fields below that apply. If additional fields are required please type the discipline(s) in the "other" box.)

Freelance writer Freelance photographer Agency I&E officer
Book author Newspaper staff outdoors writer On-air radio/TV broadcaster
Magazine staff writer Newspaper outdoors editor Broadcast producer
Magazine editor Public relations professional Videographer
Publisher Web Master Artist
Public speaker Tourism professional Contributing editor
Art director Writing or Photographer teacher Student
Other

Outdoor subject matter. (Check all fields that apply. If additional fields are required please type the discipline(s) in the "other" box.)

Archery Backpacking Biathlons Birding Boating
Bow hunting Canoeing Caving Competitive fishing Conservation Science
Cross-country skiing Cycling Downhill skiing Firearms Fly tying
Fly-fishing Four wheeling Freshwater fishing Game cookery Game law enforcement
Hiking Horseback riding Horse packing Hunter education Hunting
Hunting big game Hunting waterfowl Landscape photography Long-distance running Moto-cross
Mountain biking Mountaineering Muzzleloading Natural history Outdoor literature
Outdoor medical Outdoor survival Paddlesports Photographing flora  
Predator calling Reloading Sailing Saltwater fishing Scubadiving
Second amendment Shooting Skeet Snorkeling Snowmobling
Sporting clays Tourism Trap Trapping Triathlons
Upland hunting Upland Bird Hunting Water skiing Wildlife Wildlife Conservation
Other

Published credits -- List all credits for which you received remuneration during past 12 months, including title and date of publication. Please limit your credits to the minimum required in the interest of saving space. Please separate each credit with a coma and do not use long vertical lists. Failure to provide the required details in this section will delay approval of your application. Thank You.

Professional affiliations -- List all current memberships in communications associations, societies and other organizations.

After completing this application click the "Submit Form" button below review the subsequent confirmation form for further information and instructions. Any questions? info@westernoutdoorwriters.org

Dues may be paid online via PayPal (a secure service) or by check/money order using conventional postal service.

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Last Updated 09/16/2004

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