ASSOCIATE MEMBERSHIP APPLICATION - The Iowa State Police Association

Home « ISPA Membership « ASSOCIATE MEMBERSHIP APPLICATION

ASSOCIATE MEMBERSHIP APPLICATION

The undersigned hereby applies for (or renews) Associate Membership in the Iowa State Police Association, agreeing to abide by the Articles of Incorporation, Bylaws, and Standing Rules of the Association. I certify that I do not meet the eligibility requirements for Active or Retired Membership under Bylaw I, but I am currently employed in good standing as a peace officer as defined in Iowa Code § 801.4(11).

* denotes a required field.

First Name: *
Last Name: *
Date of Birth: * Example 01/01/1901
Date of Appointment as Peace Officer: * Example 01/01/1901
Department Name: *
Home Address: *
City: *
State: *
Zip Code: *
Applicant Phone Number: * Example 515-299-5320
Email: *