2020 Associate Membership Posted bycoordinator October 30, 2019November 18, 2019 Name of Applicant* First Last Please print your full name in the field above.Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Please fill out your address.Phone*Please provide your current phone number.Email* Please provide an email for us to contact you.Website Enter your website (optional)Where did you hear about us?Please complete the following information for your membership application.Are you an artist? Yes No The Name of the College or University you attended (if applicable)What interests you about supporting the ASA and is there anything you hope to get out of your membership?Briefly describe.Alberta Society of Artists Volunteer ApplicationContact Preferences* Email Phone Both What is the best way to contact you regarding volunteer opportunities?Volunteer Placement Preferences* Exhibition Support Promotions Support Casino Committee Occasional Tasks Misc. ASA Educational Events Board Positions Graphic Design Distribution of Promo Receiving/storing artwork for exhibits Transportation of artwork Contacting media outlets / PR No Preference Please indicate which volunteer positions you prefer. Check all that apply.Interests and SkillsFor us to further understand your most suitable placement, please describe your relevant skills and interests if you did not find them listed above.Volunteer availability* 5 hours 10 - 15 Hours 20 - 35 Hours 35+ Hours Please select below the number of hours you are able to contribute on an annual basis.Emergency Contact*Please provide the name of your emergency contact.Emergency Phone Number*Please provide the phone number of your emergency contact.I Volunteer!I AgreeThe ASA is volunteer‐run organization. It depends on the time and effort of its members to ensure the strength and reach of its programs and initiatives. In order to process this application, you must check the box to acknowledge that you are committed to volunteering with the ASA in some capacity this year. You agree to maintain any confidential information about The Alberta Society of Artists that has been disclosed and understand that the materials and tools provided by the ASA are and remain the property of the ASA. You also agree to notify the person you report to if you will be late for a shift or if you must cancel your volunteer opportunity. Please check the box below to agree to the above conditions and to confirm that the personal information provided on this form is correct.Information ReleaseI AgreeI give consent for the Alberta Society of Artists (ASA) to collect, use and/or disclose my personal information for all purposes relating to ASA business, including, but not limited to, display on the ASA public web site and/or within a printed membership directory, which may be distributed to all Full Members.Payment*I understandPlease note that payment takes place off-site via credit card or Paypal, or by sending us a cheque. When you check the box to confirm that you understand you will be able to submit your application, which will redirect you to a page with more info on our payment options.