Fillable ICG 669 | APPLICATION FORM

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ICG 669 | APPLICATION FORM

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ICG 669 | APPLICATION FORM
Unit 217 – 3823 Henning Drive, Burnaby, BC V5C 6P3 | T 778.330.1669 | F 778.330.1670 | E camera@icg669.com | www.icg669.com
Name Cell
Address Home
SIN
City, Province Postal Code Citizenship
Company Name Date of Birth (dd/mm/yy)
E-Mail Address Other Union Affiliations
CATEGORY APPLYING FOR:
q 3D Rig Tech
q Underwater DP/Operator
q Underwater Assistant
q EPK Director of Photography
q EPK Camera Operator
q Aerial DP
q Aerial Operator
q Digital Imaging Technician
q Digital Loader
q MPV Coordinator
q MPV Assistant
q Motion Control
q Remote Head
q Senior Unit Publicist
q Junior Unit Publicist
q Drone Operator (Pilot)
q Drone Camera Operator
q Drone Camera Assistant
q Director of Photography
q 2
nd
Unit Director of Photography
q Camera Operator
q Steadicam Operator
q 1
st
Assistant Camera
q 2
nd
Assistant Camera
q Stills Photographer
q 3D Stereographer
q 3D Convergence Puller
q I am legally entitled to work in Canada. I understand that if I am accepted into membership with ICG | 669, The International
Cinematographers Guild, the Union intends to apply to be certified as my exclusive bargaining agent and to represent me in collective
bargaining.
q I agree that ICG | 669 may collect, use and disclose the personal information contained in this application form for the purpose of
investigating, assessing and processing my application for membership. I specifically consent to the collection use and disclosure of this
information for the purposes of obtaining employment or training opportunities in the film industry through ICG | 669.
PLEASE NOTE: Completed applications are evaluated by the appropriate department heads. In the event you do not qualify for membership, your
application form will be kept on file for twelve months. Updates will be accepted during this time. Any misrepresentations will jeopardize your
potential membership. The application fee is $50. If this is mailed please enclose a cheque or call the office at 778-330-1669 to make a phone
payment. Please check off to confirm all the following is included in your application. Incomplete applications will not be accepted:
GENERAL PAPERWORK
q Cover Letter
q (3) Letters of Reference
q Current Resume
q Copy of WHMIS Certification
q Copy of Set Etiquette & Protocol Certification
q Copy of Safety Certification
q Copy of Proof showing legal entitlement to work in
Canada (i.e. Canadian Citizenship, Permanent
Residency Status or a Working Visa)
PROOF OF DAYS:
q Paystubs (List most recent cross referenced with shows on
resume)
q Camera Trainee Report Cards
q Other
DEMONSTRATION OF ABILITIES:
q Stills Portfolio (Stills Photographer)
Website URL:
q Demo Reel (DP, Camera Operator, EPK DP, EPK Operator)
Website URL:
SIGNATURE:
DATE:
(dd/mm/yy)
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ICG 669 APPLICATION FORM

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Completed 11 June 2021

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