NEW HAMPSHIRE LAW ENFORCEMENT ADMINISTRATIVE PROFESSIONALS


                                                      MEMBERSHIP 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 includes three trainings per year.  Annual conference is separate. 



___________________________________           _________________________________________
NAME                                                                       Title

BUSINESS ADDRESS: _______________________________________________________________

MAILING ADDRESS: (if different) _______________________________________________________

LAW ENFORCEMENT AGENCY: _______________________________________________________

Number of years you have been in Law Enforcement________________________________________

CHIEF LAW ENFORCEMENT OFFICIAL: ________________________________________________
                                                                      NAME                                                                       TITLE

SIGNATURE OF CHIEF LAW ENFORCEMENT OFFICIAL:____________________________________


SIGNATURE OF THE APPLICANT: ______________________________________________________

TELEPHONE NUMBER:  ________________________ FAX NUMBER: _________________________


EMAIL (HOME): ______________________________ EMAIL (WORK): _________________________


DATE of applicaiton:_____________________


Mail your completed application to:        Mary Wheaton-Pinder, President NHLEAP 
                                                               c/o Fremont Police Dept.
                                                               425 Main St
                                                               Fremont NH  03044
 



NEW HAMPSHIRE LAW ENFORCEMENT ADMINISTRATIVE PROFESSIONALS

NHLEAP

       f/k/a      NHCOPSA