NJAMT Membership Drive 2025

NJAMT 2025 Membership
NJAMT 2025 Membership

Thank you for joining the New Jersey Association for Music Therapy! We are your POINT OF CONNECTION within the New Jersey music therapy community. Join by March 15, 2025 to take advantage of the membership perks including the fall seminar CMTE. We are looking forward to a wonderful year!
Name*

First NameLast Name
I am...*

a brand new memberrenewing my 2024 membership
Do you live or work in NJ?*

work/reside in NJout of state memberOther
Email*
example@example.com
Credentials*

MT-BCStudent/InternOther
Please list any other professional organizations to which you belong:
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
As a networking organization NJAMT would like to share your contact information with other NJAMT members. Please indicate your preference.*

I agree to shareI do not want to share
Select your membership type:*

Professional - $25Couples - $35Student - $5Retired - $10Associate/Friend of Music Therapy - $15Affiliate Organization- $30
I would like to donate the following amount (dollars) to NJAMT (100% tax deductable)
Name of Primary Workplace/Business/Private Practice (or write: Student/Associate Member)*
Workplace Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number (work)
Please enter a valid phone number.
If you have your MT-BC, are not currently practicing and in other work, what is your job title. If not applicable, please type N/A.
Student Members- School where you are studying Music Therapy
Student Members- Level of Study; Undergraduate, Graduate, Doctoral
Setting(s) Served (Check all that apply)

Currently a Student or Associate memberAdult Day CareAdult EducationChild/Adolescent Treatment CenterChildren's Day Care/PreschoolChildren's Hospital or UnitCommunity Based ServiceCommunity Mental Health CenterCorrectional FacilityDay Care/Treatment CenterDrug/Alcohol ProgramEarly Intervention ProgramForensic FacilityGeneral HospitalGeriatric Psychiatric UnitGroup HomeHome Health AgencyHospice/Bereavement ServicesIntermediate Care Facility (ICF/DD)Inpatient Psychiatric UnitLabor/DeliveryMilitary BaseMusic RetailerMusic Therapy Business OwnerOlder adult settings - nursing home/assisted livingOncologyOutpatient ClinicPartial HospitalizationPhysical RehabilitationPrivate Music Therapy CompanySchool (K-12)Self-Employed/Private PracticeSupport GroupsUniversity/CollegeVeteran's AffairsWellness Program/CenterOther
Individual(s) served (please check all that apply)

Currently a Student or Associate memberAIDSAlzheimer's Disease/DementiaAutism Spectrum DisorderBehavioral DisorderBereavement/GriefCancerChildren's Mental HealthChronic PainComatoseDevelopmental DisabilitiesDual Diagnoses (Mental health/Chemical Addiction)Dual Diagnoses (IDD/Mental health)Early ChildhoodEating DisordersForensicHead InjuriesHearing ImpairmentsHospice/Palliative CareLabor/DeliveryLearning DisabilitiesMedical/SurgicalMental HealthMultiple DisabilitiesMusic Therapy College StudentsMusic Education College StudentsNeurological ImpairmentsOlder AdultsParkinson's DiseasePhysical DisabilitiesPost Traumatic Stress DisorderRett SyndromeSchool Age PopulationSpeech ImpairmentsStrokeSubstance Use DisorderSurvivors of Sexual or Gender-Based ViolenceTerminal IllnessTraumaWellnessOther
Are you providing telehealth services in 2025?*

yesno
Are you providing professional supervision?*

yesno
Are you interested in engaging in peer supervision sessions?

Yes, both virtual and in-personYes, virtually onlyYes, in-person onlyNo
Are you accepting private practice referrals (for services provided in NJ)?*

yesno
Would you like to add/update your private practice info on our website? (If you select "yes" a separate google form will be sent to you via the email you provided.)*

yesnoplease remove my informationI do not wish to share my information
*PRIVATE PRACTICE WEBPAGE ON NJAMT SITE

If you selected "yes" to the previous question a Google form link will be sent for you to complete via the email you provided. Please note this is only available to members in good standing for 2025.
Find your Legislative District
Find your district information from this link: https://www.njleg.state.nj.us/district-map

If you are a student/intern studying or working out of state at this time, this question is optional.
Legislative District of your home address
Legislative District of your primary work address
What type of connections are important to you?*

Continuing education opportunitiesPrivate practice referralsMentorship (for music therapists who are within two years of having graduated)Information about employment opportunitiesInformation about licensure/government relationsAdvocacy & educating the public about music therapyPeer SupportOther
Skill sets I can contribute to NJAMT:*

being presentsocial media savvyproviding peer supportcopywriting/editingtech/web savvymarketing experienceoperations experiencehistory/record keepingtalking to others about music therapymaking phone callsdetailspatienceindependent workteam workvideo/audio editinggraphic designorganizingemail correspondencepublic speakingadvocacy skillsOther
Are you interested in an appointed position from the NJAMT board? (*NOTE: You can receive CMTEs for your service)*

yesnoplease reach out to me with more information
Tell us where you look for information about NJAMT news, continuing education opportunities, events, employment information, social gatherings, etc.*

NJAMT Facebook pageNJAMT Instagram accountMessage to your preferred email addressPhone calls/text to your preferred phone numberSnail mail to your home addressPlease don't send me any informationOther
Would you be interested in receiving updates via text through the Remind App? (Ex. news about upcoming events/meetings, job postings, CMTE opportunities, etc) If yes, you will be contacted through the phone number you provided at teh top of this form.*

yesno
Thank you and next steps

After submitting, you will be redirected to our Membership Drive page where you will be able to pay for your membership and submit your donation, if choosing to do so. You will receive a follow up email confirming your Membership Form submission.
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NJAMT 2025 Membership

NJAMT 2025 Membership

*PRIVATE PRACTICE WEBPAGE ON NJAMT SITE

Find your Legislative District

Thank you and next steps