Application Form - ICOM Nederland

Applications prior to 1 October will be registered as membership for the current year and the full annual fee will be charged. Applications after 1 October will be registered as membership for the following year.

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 *

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 *
Organization *
Current postion / Department *
Please note that Freelancers and other not-museum employees 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

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 (annual) membership fee by ICOM *