ENOTHE Contributing Membership Application Form

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Eligibility

Does your institution meet and understand the below stated? *

Contributing membership is for for Non-European Occupational Therapy Education Institutions/Programmes and Occupational Therapy based Organisations/Businesses.

Your institution is a/an

Non-European Occupational Therapy Education Institution/Programme
Occupational Therapy based Organisation/Business

You understand that those eligible for contributing membership are not able to vote at the Annual General Assembly. *

I understand
I do not understand

Your institution

Full name of institution *

Full name of institution in English *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Website address of Institution *

Is your institution approved by WFOT? (Note: this is not mandatory to become an ENOTHE member) *

Yes
No
In the process of

Your organisation

Full name of organisation *

Full name of organisation in English *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Website address of Organisation *

How do you relate your organisation with ENOTHE? *

the meet of

Your Occupational Therapy Department

Number of full time academic staff in the Occupational Therapy department

Selected Value: 0

Number of part time academic staff in the Occupational Therapy department

Selected Value: 0

Number of academic staff (full and part-time) who have a MSc degree?

Selected Value: 0

Number of academic staff (full and part-time) who a PhD degree?

Selected Value: 0

Total number of Occupational Therapy students

Selected Value: 0

Full name of Head of Occupational Therapy *

Email contact of Head of Occupational Therapy *

Your Occupational Therapy Programme

The undergraduate programme at your institution is at which level? *

Diploma level
Bachelor level

Does your institution have a Masters programme? *

Yes
No
Under development

Which type of Master programme

MsC programme
Professional Master

Does your institution have a PhD programme? *

Yes
No
Under development

The ENOTHE Representative for your Institution / Organisation

For every ENOTHE Ordinary or Contributing member institution, an ENOTHE representative must be appointed. The ENOTHE representative has the honour to be the gateway between the member institution and the ENOTHE community. This means that he/she has the position to create opportunities for students and staff to contribute to and benefit from international and intercultural exchange within occupational therapy education.

Name of person who is going to be the ENOTHE Representative *

E-mail contact address of ENOTHE representative *

Membership Fees

ENOTHE membership fees are for the calendar year - January to December each year. ENOTHE membership fees are based on the World Bank income classification, hence subdivided into High Income, Upper Middle Income and Lower Middle Income. WDI - The World by Income and Region (worldbank.org) Following General Assembly annual approval, ENOTHE membership fees may increase.

ENOTHE membership yearly fee is to be paid until the 1st of May of each year. *

I understand
I do not understand

According to the World Bank Status, the country of my institution/organisation is a/an *

High Income country
Upper-middle Income country
Lower-middle Income country

Are you a new member of ENOTHE? *

From 1 January 2023 (and until further notice), a one-time one-year 50% discount on membership fees is offered to all new members. Not applicable to returning members.

ENOTHE membership is only effective after payment is received. *

I understand
I do not understand

Complete your membership payment:

High Income country

Price: 290,00 €

High Income country (one time / one year 50% discount)

Price: 145,00 €

Upper-Middle Income country

Price: 150,00 €

Upper-Middle Income country (one time / one year 50% discount)

Price: 75,00 €

Lower-Middle Income country

Price: 80,00 €

Lower-Middle Income country (one time / one year 50% discount)

Price: 40,00 €

Total

0,00 €

I will pay by *

Card (pay now)
Bank Transfer (you will be sent a link to create your invoice and complete payment)

Stripe Credit Card *