2023 AOMT Membership application

AOMT 2023 Membership Application
Name*

First NameLast Name
Credentials
MT-BC, MA, PhD, etc.
Advanced Trainings
NMT, GIM, NICU-MT, etc.

Membership Type*

Professional Membership$20.00

NOTE: Professional membership dues increase to $25 beginning April 1st.

Student Membership$10.00

NOTE: Student membership dues to increase to $15 beginning April 1st.

Associate Membership$15.00

Retired Membership$15.00

Affiliate Membership$15.00

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Total $0.00

E-mail*
Student Members must use an .edu email
Phone Number (Home/Cell)

Area CodePhone Number
Phone Number (Work)

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Place of Employment/ Business
City of Employment
Position/Title
Business Website
Area of the State (Based on location of business/employment or school)*

NortheastNorthwestCentralSoutheastSouthwest
Information to be included on AOMT Website "Find an Ohio Music Therapist"

Name & CredentialsEmployment/BusinessCity of Employment/BusinessPhone Number (Work)EmailWebsiteOther - Please indicate in the comments section below
College/University
For Students Only
Internship Site
For Interns Only
Expected Graduation Date
For Students/Interns Only
AOMT will be corresponding with members electronically. If you prefer receiving materials from AOMT through U.S. Mail (such as Octavist, CMTE registration, and member list), please contact AOMT Secretary Nicole at AOMTsecretary@gmail.com.
Comments
Donations to AOMT are tax deductible based on section 501(c)(3) of the Internal Revenue Code. Donations help support the Music Therapy Intern scholarships.

Dues must be received by March 31, 2023 for membership listing in the Members Directory and Find a Music Therapist.

The 2023 AOMT Members Directory is scheduled to be completed in April of 2023.

New professionals will receive AOMT membership free of cost. This benefit applies to interns who are transitioning into professional status as well as existing professionals who are new to the state of Ohio. Please contact Abby at AOMTsecretary@gmail.com for details.
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AOMT 2023 Membership Application