DATE: __________________________________________________________________
NAME: __________________________________________________________________
ADDRESS: ______________________________________________________________
CITY: ______________________________________ STATE: ______ ZIP: ___________
COUNTRY: _____________________
PHONE DAY: (_______) ______________PHONE EVE: (_______) _______________
FAX: (_______) ______________________
E-MAIL: _______________________________________________________________
WEBSITE: _______________________________________________________________
Professional Category: (Check all that apply)
| ____ Designer | ____ Author/Writer | ____ Crochet Producer | ____ Teacher | ____ Pattern Editor |
| ____ Contract Crocheter/Pattern Tester | ____ Self-Publisher | ____ Fiber Artist | ____ Crochet Conservator | |
| ____ Other (please specify) ____________________________________________ | ||||
Please check all areas of specialty:
| ____ Lace | ____ Filet Lace | ____ Household Accessories | ____ Broomstick | ____ Hairpin |
| ____ Jewelry | ____ Non-fiber (e.g. wire) | ____ Garments | ____ Multimedia | ____ Freeform |
| ____ Tunisian | ____ Other (please specify) ____________________________________________ | |||
| ____ Yes, I give CGOA permission to publish the above information in the Professional Members section of the Membership Directory or on the members only (password protected) area of the website. | |
| ____ No, I do not give permission to publish any of the above information. | |
| Signed ____________________________________ | Date ___________________________ |
Professional Qualification Requirements:
Please
provide any 2 of the following:
____ Photocopy of an ad for your services or crocheted items (dated within the last 2 years)
____ Purchase order with current date
____ Current brochure of services, products or classes offered
____ Photocopy of exhibit brochure (dated within the last 2 years)
____ Tear sheets of designs and/or articles published within the last 2 years
____ Invoice or copy of contract for crochet services (dated within the last 2 years)
Please provide any 2 of the following:
____Business Letterhead
____Resale tax certificate
____Business card
____Business license
In lieu of the above listed Professional Qualification Requirements, you may elect to attach your resumé or curriculum vitae summarizing your professional experience and additional training during the last two years. You will be contacted if we need additional information.
For use in our database: (Check all that apply)
____I
am willing and available to serve as a mentor for members interested in
entering a professional crochet field.
____I use contract crocheters.
____I use or envision using pattern checkers/editors in my work.
____I am a salaried employee of a publisher of crochet patterns.
____I am a salaried employee of a thread or yarn producer/distributor.
Applicants for professional membership status must be members in good standing of CGOA.
If you are not accepted as a Professional Member at this time, you will be assigned the classification of Professional Associate. We will tell you which areas need strengthening and suggest ways you can bring your qualifications up to professional standards. You have the option of working with a mentor to help you complete the requirements to bring you to full Professional status.
Mail your completed professional membership application form to:
CGOA/Membership, 1100-H Brandywine Blvd, Zanesville, OH 43701-7303.
If you are not a current member of CGOA, please include member form and dues payment.
For Office Use Only:
Membership Number ___________________ Expiration Date ___________________
Received for Review ____________________ Reviewed By ___________________
Disposition ___________________________ Entered into database
___________________