SRLEEA LAW ENFORCEMENT MEMBER
All employees of small, rural, or tribal law enforcement agencies are eligible for complimentary membership in SRLEEA. To join, please complete the form below. Once your application is reviewed, you will receive your membership information via email. Be sure to provide an accurate email address to ensure you receive our communications. Thank you for your service to our small, rural, and tribal communities. We are honored to support you in every way we can.
Name
*
First Name
Last Name
Email
*
example@example.com
Work Phone Number
*
Please enter a valid phone number.
Private Phone Number (optional)
Please enter a valid phone number.
Agency Name
*
Type of Agency
*
Small (100 or less sworn employees)
Rural (community with a population of less than 200 people per square mile)
Tribal (any federally recognized agency serving a tribal community, band, nation, or other organized group or community of indigenous people of North America, including any Alaska Native village)
Other Law Enforcement
Agency
*
Police
Sheriff
Other
Executive Officer
The Elected Sheriff
Police Chief
Command Staff (number 2 in the agency)
Other
Rank or Position
*
If retired add "ret" after your rank.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Optional Information
I would be interested in serving on a SRLEEA committee
I would be interested in serving on the SRLEEA Board of Governors (Executives Only)
I would be interested in writing articles for SRLEEA publications
Submit
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