Membership Application

APPLICATION FOR MEMBERSHIP
ARIZONA IDENTIFICATION COUNCIL, A DIVISION OF
THE INTERNATIONAL ASSOCIATION FOR IDENTIFICATION

I hereby apply for membership in the Arizona Identification Council in accordance with its Constitution and Bylaws and agree to be bound by them. I understand that there is a two dollar ($2.00) admission fee paid at the time of my application plus the twenty-five dollar ($25.00) annual contribution. I also understand that if my application is not accepted the monies will be returned to me.


PLEASE FILL OUT, PRINT, AND RETURN TO:
AIC, P.O. Box 34463, Phoenix, AZ 85067
 (COMPLETE BOTH ADDRESSES AND CHECK MAILING PREFERENCE)
THIS INFORMATION WILL REMAIN CONFIDENTIAL

NAME:
BUSINESS TITLE:
BUSINESS ADDRESS:
CITY: STATE: ZIP:
BUSINESS TELEPHONE: FAX: 
BUSINESS E-MAIL:
EMPLOYED BY: 
HOME ADDRESS:
CITY: STATE: ZIP:
HOME TELEPHONE:
HOME E-MAIL:

 

I would like my mail to be sent to my:  HOME    BUSINESS


PERSONAL HISTORY
Please list your current job duties, and any other items you feel are relevant for membership consideration.






 


PLEASE INDICATE YOUR AREAS OF EXPERTISE

Fingerprint Identification Footwear/Tire Tracks
Forensic Photography / Electronic Imaging Polygraph
Laboratory Analysis Voice & Acoustics
Crime Scene Investigation Innovative / General Techniques
Blood Stain Pattern Analysis Questioned Documents
Forensic Art Firearms & Toolmarks

 

I am applying for  ACTIVE   ASSOCIATE  membership.

 

MEMBERSHIP QUALIFICATIONS

ACTIVE MEMBERSHIP: Active Membership in the Association is open to those  persons engaged in the forensic sciences provided they are bonafide employees of, and who receive salaries from national, state, county or municipal governments, or some subdivision thereof.

ASSOCIATE MEMBERSHIP: All reputable persons wholly or partially engaged in any of the Various phases of the science of identification, and who are not qualified for Active membership, are hereby eligible to become Associate Members; they shall, in all respects, be subject to the same rules, fees, and charges and entitled to the all rights and privileges as Active members, except that they shall not be entitled to election to the office of President or Vice-President.

I certify that the information herein contained is true and correct to the best of my knowledge. Any omission or falsification of information will be a basis for rejection or denial of continued membership.

APPLICANT'S SIGNATURE:  ______________________________   DATE: ____________

RECOMMENDED BY: ____________________________   Membership #: _______________

CREDENTIALS AND MEMBERSHIP COMMITTEE REPORT

  ACCEPT REJECT DATE
Committee Chairman (2nd Vice President)      
Committee Member (Sergeant at Arms)      
Committee Member (Sec/Treasurer)      


This applicant has been   ACCEPTED   REJECTED   Date:_____________


Membership No. __________  Membership Date: ____________  Amount Rec'd: __________