Welcome to the Anime Expo 2019 Industry Badge Application!

If you have already applied in 2017 and/or 2018, please click HERE to login! If you have already logged in, please proceed below!
The deadline for this application is June 1, 2019.
Boxes outlined in red are required.

Primary Contact Information

If applicable, please enter your professional email, not your personal one).

Industry Information

Current Employer
If you do not have an employer, please write in 'Freelance.'
Current Job Title
Previous Employer
Previous Job Title
Daily Duties
Please provide a detailed description of your daily duties as it relates to the pop culture industry.
Statement of Intent
What do you hope to accomplish by attending Anime Expo 2019 as an Industry Professional?
Please explain how you will integrate what you experience at Anime Expo into your profession.
Are you a Freelancer?
Professional Website
Please confirm that the link you provide is functional before submitting your application.
Professional References
Please provide the full names, titles, and email adresses for three (3) professional contacts that
we can contact for a professional reference.
Professional Reference 1 - Full Name
Professional Reference 1 - Title
Professional Reference 1 - Email
Professional Reference 2 - Full Name
Professional Reference 2 - Title
Professional Reference 2 - Email
Professional Reference 3 - Full Name
Professional Reference 3 - Title
Professional Reference 3 - Email
Recent Works
If you are a Professional Creator, what is the year of your most recently published work?
If you are a Professional Creator, please provide a link to your most recently published work.
If you are an Industry Professional, please provide three links or any materials with your title and name including screenshot.
Industry Professional Link 1
Industry Professional Link 2
Industry Professional Link 3

Social Media Information


Please note, completing this application does not register you for an Industry Badge for Anime Expo 2019.
If your application is approved, you will be prompted via email with instructions on how
to complete your registration.