f/k/a NHCOPSA
New Hampshire Law Enforcement Administrative Professionals
MEMBERSHIP APPLICATION
DATE of Application: _____________________
MEMBERSHIP: Any person who presently or formerly provides or provided administrative support to a law enforcement official within the State of New Hampshire (“applicant”), shall be eligible for membership in the Corporation in one of the following designated categories:
( ) ACTIVE MEMBER: Any presently employed individual who has been accepted as an Active Member pursuant to these Bylaws. (Active Members include Members who were formerly known as “Charter Members”) ;
( ) ACTIVE EMAIL MEMBER: Any presently employed individual whose attendance is not required at Members Meetings; or
( ) LIFETIME MEMBER: Any individual who retired from his/her administrative support position while a Member in good standing of the Corporation.
Annual Dues of $125 include three trainings per year. The annual conference is separate.
___________________________________ _____________________________________
NAME Title
LAW ENFORCEMENT AGENCY: ______________________________________________
BUSINESS ADDRESS: _________________________________________________________
MAILING ADDRESS: (if different) ________________________________________________
**How did you learn about NHLEAP: ____________________________________________
Law Enforcement Serving since year: __ __ __ __
CHIEF LAW ENFORCEMENT OFFICIAL:
______________________________________________
NAME TITLE
SIGNATURE OF CHIEF LAW ENFORCEMENT OFFICIAL: _______________________
SIGNATURE OF THE APPLICANT: ______________________________________________
TELEPHONE NUMBER: _____________________ FAX NUMBER: _____ ___________
EMAIL (WORK): _____________________________ EMAIL (HOME): _________________
Mail your completed application to: Rebecca Huntoon, President NHLEAP c/o Danbury Police Dept. 23 High Street Danbury NH 03230