WEVA MPV Program

Exam Application For WEVA International Merited Professional Videographer

INSTRUCTIONS:
Complete this Online Application Form giving all information. Upon completion, you will be prompted to a screen for payment of the $125 application fee. All applications must be accompanied with payment to be considered for the MPV program.

PERSONAL INFORMATION
First Name:	Last Name
Phone Number:	Email Address:
Address:	City:	State:	Zip:

Self Employed? Yes No
EMPLOYMENT HISTORY
List your employment history for the last two years, (current employment first).
Self Employed? Yes No
If Yes, What is the name of your company?
How many years self employed?
What year was your business opened?
If you are not self employed, please fill out below:
Company:
Address:	City:	State:	Zip:

Company:
Address:	City:	State:	Zip:

WEVA INTERNATIONAL MEMBERSHIP STATUS
Are you a member of WEVA International?: Yes No
INFORMATION ABOUT YOUR BUSINESS
What % of your income-producing time is devoted to professional Videography?:
WEVA International Merited Professional Videographer Standards of Professional and Personal Conduct
Upon being accepted as a WEVA MPV member, I subscribe without reservation to the WEVA International Code of Ethics. Yes No
TEST INDENTIFICATION NUMBER
For the purposes of testing and the application process, please create your 'Test Identification Number' which will consist of the last 5 digits of your Social Security number.

WEVA International
8499 S. Tamiami Trail, PMB 208
Sarasota, FL 34238
Phone: 941-923-5334 FAX 941-921-3836

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