Academy of Television Arts & Sciences
5220 Lankershim Blvd.• North Hollywood, CA 91601-3109 • 818-754-2800 FX 818-754-2808
ACADEMIC STUDENT MEMBERSHIP APPLICATION
I WOULD RATHER RECEIVE ACADEMY MAILINGS VIA EMAIL WHENEVER POSSIBLE: Yes No
COLLEGE OR TRADE SCHOOL YOU ARE ATTENDING
EXPECTED DATE OF GRADUATION
OR COMPLETION (month/year)
FACULTY SPONSOR SIGNATURE:
You must be a college/trade school student or a recent graduate to be eligible for Academy membership. You
must include a photocopy of your CURRENT REGISTRATION and CLASS SCHEDULE, a current Degree Progress
Report or a diploma with your completed application. Student applications are accepted throughout the
academic year, and must be accompanied by proof of current registration, DPR or graduation. Dues for one
year are $25.00, and checks are to be made payable to ATAS. Payment for membership must be enclosed
with this application in order to be processed. You may continue your student membership for two years from
your date of graduation. When you have the appropriate industry credits you may apply as an Associate or
Active member (please refer to the Membership Requirements listed at www.emmys.tv).
I certify that I am a student as defined by my university or trade school, or a recent graduate.
FILM GROUP For an additional $75 annual fee you may join the Film Group, entitling you and a guest to attend
screenings of up to 60 new motion pictures per year for a total value of over $1,000. Screenings are held in the
Leonard H. Goldenson Theater in North Hollywood.
_____ Check here for Film Group. (Please include an additional $75 with your payment).
Dues for one year are $25.00. Checks are to be made payable to ATAS. Payment for m