AOMT 2023 Membership Application
Name
*
First Name
Last Name
Credentials
MT-BC, MA, PhD, etc.
Advanced Trainings
NMT, GIM, NICU-MT, etc.
Membership Type
*
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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 Code
Phone Number
Phone Number (Work)
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
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Falkland Islands
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Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
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Guinea
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Hong Kong
Hungary
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Indonesia
Iran
Iraq
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Israel
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Jamaica
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Jordan
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Montenegro
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Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
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Nigeria
Niue
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Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
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Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
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Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
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Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
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Sudan
Suriname
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eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
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Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Place of Employment/ Business
City of Employment
Position/Title
Business Website
Area of the State (Based on location of business/employment or school)
*
Northeast
Northwest
Central
Southeast
Southwest
Information to be included on AOMT Website "Find an Ohio Music Therapist"
Name & Credentials
Employment/Business
City of Employment/Business
Phone Number (Work)
Email
Website
Other - 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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