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After you register, your request will be submitted for approval. You will receive an email with further information. For your username, we suggest using your FirstInitalLastName. ex. JSmith
Username *
Email Address *
First Name *
Last Name *
Graduation Year *
Field Office Graduation *
Date of Birth (MM/DD/YYYY) *
Mobile Phone *
Other Phone
Street Address *
City *
State *
ZIP Code *
Employer Name
Job Title
Employer Address
Employer City
Employer State
Employer ZIP
Employer Phone
Name *
Relationship *
Emergency Phone *
Email *
Interests Art / Graphic Design Communications Financial Fundraising Grant Writing Membership Programs and Events Sponsonship Development Strategy Technology
Other Interests or Skills?
May we publish your name and contact information in our directory? * Yes No
Please review our membership policies: View PoliciesBy selecting to be a member, you acknowledge the following: I am a graduate in good standing of the FBI Citizens Academy Program, and will act only in the best interests of the FBI and the Chapter. I will abide by the Chapter Bylaws, FBINCAAA Bylaws and all applicable policies adopted by the Chapter and the FBINCAAA, including, but not limited to, the Code of Conduct and Ethics Policy, Sexual Harassment Policy, Conflict of Interest Policy, Document Retention Policy, and Whistleblower Protection Policy. I will at all times maintain compliance with all applicable FBI security requirements in the sole and absolute discretion of the FBI (the “FBI Requirements”). Failure to maintain such certification shall immediately disqualify an individual from CAAA membership, including all service as an officer, director or member of a committee. The acknowledgement hereby consents that the FBI may communicate the status of my compliance (or non-compliance) with the FBI Requirements to the CAAA and/or the FBINCAAA. * I agree I disagree
By my selection below, I hereby AFFIRM my understanding and agreement to the foregoing, that I have received a copy hereof, and that I will faithfully adhere to the above, to the Memorandum of Agreement, Chapter Affiliation Agreement, Bylaws of the FBINCAAA and of the Chapter, and to the policies of the FBINCAAA and the Chapter as now in effect and hereafter enacted. Unless I have completed a Conflict of Interest Disclosure Form, I certify I have no conflicts of interest to report. * Yes No
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