OTAJ Application Form Membership Application Form Name(Required) Home Address(Required) Tel Number(Required)Email(Required) Enter Email Confirm Email Council of Professions Supplementary to Medicine Registration # Place of Employment/Volunteer Service Address Area(s) of Professional Interest Other Professional Memberships Professional Qualifications Professional Educational Institutions AttendedOther Interests & SkillsOTAJ Committee you wish to serve on Fund Raising Educational OT Promotion Legislation and Advocacy Malpractice/ Ethics OT Educational Programme Signature(Required)Date(Required) MM slash DD slash YYYY Annual Cost: Jamaican Members $12,000.00 JAD – Practising Therapist $6,000.00 JAD – Local Retired $4,000.00 JAD – Associate members $3,500.00 JAD – Student members Jamaican Members $40.00.00 USD – Overseas members $25.00.00 USD – Retired overseas members $25.00.00 USD – Overseas Associate $25.00.00 USD – Overseas student members
