NEW MEMBERSHIP: Application

icon Attention

It is possible you already have an IACIS® account? Please do not fill out a duplicate application.
Contact the secretary@cops.org if you need help recovering your old account.

Please complete the following application:
(fields marked with * are required)

First Name*, Middle Initial, Last Name*    
Rank/Title*

Agency / Organization Information
Agency / Organization Name*
Department / Section*
Agency / Organization Leader's Name*
Agency / Organization Leader's Title  
Agency / Organization Address Line 1*
Agency / Organization Address Line 2  
Agency / Organization (City*, State Postal Code)    
Agency / Organization Country*
Agency / Organization Business Phone Number*   Ext.  
Agency / Organization Alternate Phone Number:   Ext.  
Official Government or Business Email Address*
Alternate Email*
Current Supervisor (Name/Title)*
Current Supervisor Phone Number*

Personal Information
Home Address Line 1
Home Address Line 2
Home (City, State Postal Code)    
Home Country
Home Phone Number

Additional Information
  I have attended the CFCE BASIC Conference.
Year Attended: 
  I would like my profile to be searchable by other IACIS members.
  Are you a sworn law enforcement officer?*
Yes No
  Are you employed full time directly by a law enforcement or government agency?*
Yes No
  Are you a contractor who works full time in support of a law enforcement or government agency?*
Yes No

If you answered NO to each of the above questions, please provide additional information as to why you should be considered for Associate Membership within IACIS. Focus on current member recommendations, past or planned support to the international law enforcement community, etc.
Space is limited. If necessary, you can submit a separate e-mail to secretary@cops.org.

Requested Username*
Password*
Confirm Password*
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