ASSOCIATION OF HEADS OF OUTDOOR EDUCATION CENTRES

FULL or ASSOCIATE MEMBERSHIP APPLICATION FORM

I wish to apply for Full or Associate membership (put cross in one box)

Section 1 – Personal details

Full Name:
Job Title: / Organisation:
Address:
County: / Post Code:
Phone: / () / e-mail Address:
Type of provision and ownership (eg registered charity, name of local authority, private company, etc):

Section 2 – Career/Employment/Professional Development History

Section 3 – Professional Qualifications and Experience

Section 4 – Details of current post

Provide a brief description of the organisation you manage and attach your current job description along with any promotional literature which helps set the context

Section 5 – Aspirations and contributions

Why do you wish to join the Association?
What special qualities and interests do you think you might bring to the Association?

Section 6 – Professional Indemnity

Are you a current member of the NAHT? / YES / NO
If yes, which branch?
If no, do you wish to join NAHT as part of this application? / YES / NO
If you do not wish to join NAHT, please give information regarding your current professional indemnity insurance

Section 7 - Referees

Please provide the names and addresses of two referees, at least one of which should have direct knowledge of your professional involvement in the outdoors
Referee 1:
Full Name:
Address: / Phone: / ()
Job Title: / e-mail
Referee 2:
Full Name:
Address: / Phone: / ()
Job Title: / e-mail

Section 8 – Regional attachment

Please designate the AHOEC region to which you wish to belong.
The regions are:
Central England, Lakes & North England, North Wales, Northern Ireland, Peak District, Scotland,
South & South-West England, South Wales,

Section 9 - Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.
I agree to abide by the Code of Ethics of the Association and to participate in the affairs of the Association as an active member, and to maintain an appropriate level of indemnity insurance.
Name: / YES / Date:
Please ensure that you have enclosed a job description and promotional literature
For AHOEC office use only:
Membership approval:
Region: / Date:
Name of regional officer: / Office held:
Application approved? / YES / NO
Reason for refusal if ‘no’

1