ICDTA Membership Enquiry Form

First Name(s)
Last Name(s)
Address Line 1
Address Line 2
City/Town
Postcode/zip
Country
Telephone (best one to use)
email
Skype (if you have it)

I am interested in possible membership of ICDTA in the category indicated below (please put x).

I have shown my existing qualifications where applicable.

Category

X

Qualifications held – level, field and whether ITAA, EATA or WPATA

Teaching Member – must be certified as (P)TSTA E, O or C by ITAA, EATA or WPATA    
Master Professional Member - must be certified as CTA E, O or C by ITAA, EATA or WPATA    
Advanced Professional Member – must have attained ICDTA Diploma in DTA    
Professional Member – must have attained ICDTA Diploma in DTA    
Practitioner Member – must have attained ICDTA Practitioner Award    
Vocational member – must have attained DTAVA or DTAAVA    
Associate Member – for anyone who shares the ICDTA aims and codes of practice    
Student member – these memberships are acquired as part of signing up for the qualification or award – please see instead the relevant enquiry form

Complete and save form and email it to ICDTA@adinternational.com

Or print out and mail to ICDTA, Wildhill, Broadoak End, Hertford SG14 2JA, UK

Or fax to +44 (0) 1992 535283

You can call to discuss this if you prefer – Julie Hay +44 (0) 7836 375188

or Skype juliehay