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ISWFACE MEMBERSHIP INFORMATION AND APPLICATION FORM
PRIVATE AND CONFIDENTIAL

PAGE #1

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Download pdf application

version ws 06/04.03


ISWFACE is a non-profit public benefit corporation. A substantial portion of your membership fees may be tax-deductible (refer to your local tax regulations).

WHO IS ELIGIBLE: Membership in the Foundation is limited to [a] those individuals and organizations who fully support the right of the sex worker to self-determination, to have the right to choice, to work in a non-coercive environment, be the coercion at the hands of another individual or government in the form of prohibitive or undue/uncalled for regulations and restrictions, and a belief that sex work is not in and of itself a form of coercion or inherently degrading (b) current, ex and transitioning sex workers, sex worker activists and known supporters and allies of sex workers. If you have any questions about your eligibility, please don't hesitate to e-mail, write or call us. You may be required to provide references.

Only current or ex-sex workers will have voting privileges to ensure the continued pursuit of the goals of the founders.

AFTER YOU DOWNLOAD THIS QUESTIONNAIRE, PLEASE PRINT OR TYPE CLEARLY AND MAIL WITH YOUR MEMBERSHIP FEE TO: ISWFACE
8801 CEDROS AVE. #7, PANORAMA CITY, CA 91402 USA

Today's Date____________________________________________________

Name___________________________________________________________________________

Is this an alias? _____yes _____no [note, if you are a sex worker using an alias, the US tax laws require that you provide us with your legal name if and when you apply for funding.]

If applying as an organization, name of organization:___________________________________

Age?______________ [You must be at least the age of consent within the country in which you reside when applying for funding]

Mailing Address_________________________________________________________________

City ______________________ State or Province_____________________________________

Country_______________________ Postal/zip code___________________________________

Telephone number(s)_____________________________________________________________

Fax number_____________________________________________________________________

e-mail address__________________________________________________________________

web site address________________________________________________________________

Are you (check all that apply):

____ a current, ex or transitioning sex worker?

____ researchers [type of research]

____ academic [specify field]

____ legal expert [specify field of expertise]

____ health or social worker [specify]

____ other (please specify)_________________________________________

 


ISWFACE MEMBERSHIP APPLICATION FORM- continued page # 2
Version ws06/04.03

All membership requirements, list of incentives for each membership level and other relevant information may be found in the ISWFACE Handbook.

Individual Membership Fees*

Yearly

Yearly

___ Level I

$25

___ Level III

$100

___ Level II

$50

___ Level IV

$150 and up

___ In addition to my membership fees, I am also enclosing the following (tax deductible) contribution_________

___ I do not wish to join at this time, but I am enclosing the following (tax deductible) contribution____________

We encourage you to subscribe at the highest level you can afford. Please consult your handbook for further information regarding membership benefits.

*Organizational memberships are still under review and fee structure will be determined at a later date.

No current, ex or transitioning sex worker will be denied membership solely because they cannot afford membership fees. Special consideration, including waiving all fees if necessary, will be given to sex workers in developing countries and incarcerated sex workers. [ This offer is not available to non-sex workers. See waiver qualification details further in this application form]

____________________________________________________________________________________

FOR ALL - SIGNATURE REQUIRED TO PROCESS APPLICATION

By signing this document I hereby acknowledge that I support the right of the sex worker to self-determination, to have the right to choice, and to work in a non-coercive environment, be the coercion at the hands of another individual or government in the form of prohibitive or unfair regulations and restrictions. I also hereby agree to accept and abide by the conditions of membership as stated in the Handbook.

 

SIGNATURE _____________________________________date______________________________________


Method of payment and where to send:
* We accept checks and money orders (US currency only), and Paypal.
PLEASE DO NOT SEND CASH.
*Checks and money orders should be payable to: ISWFACE and mail to:
8801 Cedros Ave. #7, Panorama City, CA 91402 USA [phone/fax:(818) 892-8109]

* I am enclosing:

___ check ___money order [we cannot accept credit cards at this time]


WAIVER OF MEMBERSHIP FEE REQUIREMENTS:

If you are requesting a waiver of membership fees, please attach a separate page with a brief explanation. Each request for waiver will be evaluated on a case by case basis. If no explanation is attached, we cannot consider your request.

____ I am requesting a temporary waiver _____I am requesting a permanent waiver


OPTIONAL QUESTIONS: CURRENT, EX and TRANSITIONING SEX WORKERS ONLY

While it is not a requirement to respond to the following questions, your honest answers will assist us in achieving the goals of the Foundation.

________ ______ ________ _______ _______ ________ ________ ________ _________

[1] Do you identify as: ____ transgender ____female ____ male

[2] In what type of sex work are or were you employed?


ISWFACE MEMBERSHIP APPLICATION FORM - continued page #3 Version ws06/04.03

[3] Do you participate in any of the following creative activities? If so which ones? Please check all that apply:

____ Artist- painter sculptor fine art photographer craftsperson cartoonist graphic artist

____ Film Maker/ including documentary films and videos

____ Musician: singer composer instrumentalist (type of instrument) ________________

____ Performance Artist Comedian Dancer

____ Poet

____ Writer: fiction non fiction (other than academic works on prostitution)

____ Other: explain

[4] (a) Has your creative work ever been:

___ publicly displayed, exhibited or performed ___produced for public distribution

___ published, printed, or reproduced in any currently available medium

(b) If so, please give details and dates, on separate page if necessary

________________________________________________________________________________

________________________________________________________________________________

[5] (a) Have you ever applied for funding, grant money or scholarships for your creative projects?

(b) Did you receive funding/grant/scholarship?*

(c) If application(s) was or were rejected, what were the reasons given?* Use separate page if necessary.

________________________________________________________________________________

________________________________________________________________________________

* Answering these questions will NOT effect any future application for funding from ISWFACE

[6] (a) What are your computer skills? ____none ____limited ____expert

(b) Please list any computer, scanner, fax, video camera and other communication technology equipment you have available to use________________________________________________

_________________________________________________________________________________

(c) Are you on the internet or do you have access to the internet?________________________

[7] (a) Do you belong to a sex worker organization?____________________________________

(b) Name of organization?_________________________________________________________

(c) Is there a sex worker support/ advocacy organization in your community?*______________

(d) If so, which one______________________________________________________________

(e) If not, what is the nearest organization to your community?___________________________

* If you are unaware of any organizations in your region, we will try to locate one for you if you are interested

[8] What services and programs offered by ISWFACE interest you the most?

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

[9] Do you have access to HIV/AIDS and safe sex programs or information and counseling service providers, if so which ones?_________________________________________________________________________


ALL ISWFACE MEMBERSHIP APPLICATION FORMS ARE CONFIDENTIAL

AND ALL INFORMATION CONTAINED HEREIN IS FOR ISWFACE USE ONLY. UNAUTHORIZED VIEWING OF THESE FORMS IS A VIOLATION UNDER SEVERAL UNITED STATES FEDERAL AND STATE LAWS, AND VIOLATORS WILL BE PROSECUTED TO THE FULLEST EXTENT OF THE LAW.


ISWFACE use only. Do not write in this area

Database entry_________ date_____________ by______________


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