NAWLEE Membership Application

National Association of Women Law Enforcement Executives
Membership Application

This information will be distributed to our members only.

Date:_________________

Name:

Title/Rank:

Name of Employing Agency
or Business Affiliation:

Mailing Address:

City:

State:

Zip:

Phone:

Fax:

Email Address:

I am applying for the following category of membership (check one):

_____ Executive ($100.00) _____ Associate ($75.00) _____ Supporting ($50.00)

Law Enforcement Agency Type (check one):

____ Local Government (town, village, county, city, etc.)
____ State (excluding University)
____ Campus or University (public or private)
____ Federal
____ International (outside USA)
____ Other (specify): ______________________________

____ Sworn

____ Non-Sworn

Years in law enforcement:

Years in present rank:

Referred to NAWLEE by:

Please Send Check and Application to: NAWLEE 3 Dunham St. Carver, MA 02330