Application Form - ICOM Nederland

Fields marked with an asterisk (*) are mandatory.

Membership categoryCategory *

Personal informationSalutation *
First name (given name)
First name (as in official documents) *
Infix
Last name *
Date of birth *
Nationality
Preferred language of communication *

Check marks

Find the Code of Ethics here or read a dutch version here.

I adhere to ICOM’s Ethical Code *
I accept automatic withdrawal of my membership fee by ICOM *

Contact informationContact email address (used for communication, for students: student email address is mandatory) *
Email 2 (i.e. work or private)
Phone (mobile preferred) *
Street *
Number *
Number suffix
Postal/areal code *
City
Country *
Type of museum

Ethnographic
Natural History
Art
History
Science
Other

Organization or educational institution *
Current postion / Department *
Experience *
Field of Study
Please note that only Students that follow a study relevant to the museum profession are eligible for membership. Students need to upload a Proof of Enrollment which states the current year.
Please note that Freelancers need to upload a one-pager (Dutch or English) with motivation including clear professional ties to the museum field.

Banking informationIBAN (IBAN bankaccount is required) *
Name account holder *

International Committee of Interest

Please visit the ICOM international website to learn more about the various committees. You are required to join at least one committee when applying for an ICOM NL membership, the selection of two additional committees is optional.

International Committee (voting rights) *
International Committee of Interest I
International Committee of Interest II
International Committee of Interest III