NEW HAMPSHIRE LAW ENFORCEMENT ADMINISTRATIVE PROFESSIONALS

NHLEAP

       f/k/a      NHCOPSA

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”); in order to vote at the Annual Conference participation in at least two meetings is required.

(  ) 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) ________________________________________________
Law Enforcement Serving since year: __ __ __ __

**How did you learn about NHLEAP (if another member, please list their name):  ________                                                                       ________________________________


CHIEF LAW ENFORCEMENT OFFICIAL:

 ______________________________________________                                                              
NAME                                                                                        TITLE



SIGNATURE OF CHIEF LAW ENFORCEMENT OFFICIAL: _______________________

SIGNATURE OF THE APPLICANT: ______________________________________________



TELEPHONE NUMBER:  ___________________ __  FAX NUMBER: _____     ___________
EMAIL (WORK): _____________________________ EMAIL  (HOME): _________________

Please Mail your completed application to:

Francine Swafford, Treasurer NHLEAP
c/o Hooksett Police Dept.             15 Legends Drive                                              Hooksett NH 03106