ICMM Full Membership Application form

ICMM Full Membership Application form

For museums
Section 1: About Your Museum
Name of museum in English:*
Name of museum in original language:*
Please give a general description of your museum:*
100 words max
Summary of your mission statement:*
100 words max
Summary of your museum collection/objects:*
100 words max
Does your museum comply with the ICOM definition of a museum? https://icom.museum/en/activities/standards-guidelines/museum-definition/*

YesNo
Number of objects in your collections:*
Please indicate the structure of your museum:*

My museum has paid staff membersMy museum is an entirely volunteer-led organisation
Number of paid staff at your museum:*
Number of volunteers (unpaid staff) at your museum:*
Annual visitor numbers:*
Museum's annual gross revenue (Euros):*
Based on your museum's annual gross revenue (Euros) noted above, please select the relevant category (0-5) of ICMM membership for your museum:
Please note that ICMM will support Category 1 members for the first 3 years of their ICMM membership (in other words, there will be no fees to pay for 3 years)
Governance (e.g. government, foundation, association, other):*

Section 2: Contact Details
Name of Director:*

First NameLast Name
Director's job title:*
Director's email address:*
example@example.com
Would you like to subscribe to the monthly ICMM newsletter?*

YesNo
Name of primary contact at your museum (if not the Director):

First NameLast Name
Job title of primary contact:
Email address of primary contact:
example@example.com
Would you like to subscribe to the monthly ICMM newsletter?

YesNo
Email address of finance contact: (Please ensure this contact can receive and process your ICMM membership annual invoice)
example@example.com
Postal address of museum:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Website address of your organisation:*
General contact email for your organisation:*
example@example.com
Your organisation's Twitter account (so we can follow you for news):
Your organisation's LinkedIn account (so we can follow you for news):
Your organisation's Facebook page (so we can follow you for news):
(Optional) Please add names, job titles and email addresses of up to 3 additional staff members you wish to add to the ICMM mailing list:
Should be Empty: