FBI National Citizens Academy Alumni Association
APPLICATION FOR CHAPTER MEMBERSHIP
SECTION ONE: CONTACT INFORMATION
Name:
*
First & Last - as you registered for the Academy
Field Office Where you Attended FBI Citizens Academy Program:
*
Cincinnati or Columbus
Primary Phone:
*
Format: (000) 000-0000.
Primary Email for Correspondence:
*
example@example.com
Applicant Information
FBINCAAA Chapter:
*
Cincinnati
Year Graduated:
*
Home Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Alternative Phone:
Format: (000) 000-0000.
Alternative Email:
example@example.com
Business Information
Employer:
Occupation or Former Occupation:
Employer Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact
Name:
*
Relationship:
Phone Number:
*
Format: (000) 000-0000.
Email:
example@example.com
SECTION TWO: INTERESTS, EXPERTISE AND CAPABILITIES (CHECK ALL THAT APPLY)
Community Outreach Programs and Events
Community Education & Awareness
Membership Programs and Events
Volunteer Services and Support
Board and Leadership Development
Incident Response
Marketing and Communications
Youth Programs
Sponsorships and Fundraising
Community Service Projects
Technology Support (Website, Database, Email)
Other Specific Topics (e.g., human trafficking, elder fraud, violent extremism, hate crimes, etc.). List:
Other Expertise or Special Training (e.g., accounting, legal, compliance, etc.). List:
FBI National Citizens Academy Alumni Association is a nonprofit organization separate and apart from the FBI
Revised March 16, 2025
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SECTION THREE: PERMISSIONS
I want to receive email communications from the Chapter regarding programs, events, volunteer opportunities, reminders, and other news and announcements. I understand that members may opt out upon request.
YES
NO
I want to receive email communications from FBI National Citizens Academy Alumni Association regarding education programs, conferences, policies, resources, and messages from FBI Headquarters. Members may opt out upon request. If yes, please have your Membership Director or authorized board designee initiate the digital DocuSign process for access.
*
YES
NO
I grant permission to publish my name and contact information in the Chapter Membership Directory, and understand that the information is restricted for use only by Chapter members and the FBI Field Office. Members can ask to be removed from the directory at any time.
*
YES
NO
SECTION FOUR: ACKNOWLEDGEMENTS
By applying to be a member, I acknowledge the following:
*
I am a graduate in good standing of the FBI Citizens Academy Program, and will act only in the best interests of the FBI and FBI National CAAA and its Affiliate Chapters.
I understand that chapter membership is granted only to individuals who meet and maintain the guiding principles for FBI Citizens Academy Graduates as well as the FBINCAAA Program Requirements. I am committed to adhering to these standards along with the Chapter's Bylaws and other policies.
I will at all times maintain compliance with all applicable FBI security requirements in the sole and absolute discretion of the FBI (FBI Requirements). Failure to maintain such certification will immediately disqualify an individual from FBINCAAA chapter membership, including all service as an officer, director, or member of a team. The undersigned hereby consents that the FBI may communicate the status of my compliance (or non-compliance) with the FBI Requirements to the Chapter and FBI National CAAA.
I will make known any relationships, transactions, or other circumstances that could create a conflict of interest, now or in the future, between the CAAA and personal interests.
I have the following relationships, transactions, or positions that could create a conflict of interest, or an appearance of a conflict of interest (describe):
*
No Conflicts
Conflict of Interest, List in Other
Other
QR code for link to Program Requirements
Applicant Signature:
*
Name:
*
First & Last - as you registered for the Academy
Date Submitted:
*
-
Month
-
Day
Year
Date
PLEASE LEAVE BLANK - TO BE COMPLETED BY THE CHAPTER MEMBERSHIP DIRECTOR
I have verified that the applicant is an FBI Citizens Academy graduate in good standing.
Application approved
Dues paid
Membership Director/Coordinator Signature: or Other Designated Director
Date:
-
Month
-
Day
Year
Date
IMPORTANT: Upon acceptance, please update the Chapter's membership database. Upload the member application and update the membership roster in BoardEffect.
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FBI National Citizens Academy Alumni Association
Chapter Membership Dues
Membership dues are assessed and payable on January 1 of each year. All dues amounts are deemed fully earned on receipt and are nonrefundable.
The FBI Cincinnati Citizens Academy Alumni Association is a nonprofit corporation exempt from income tax under Section 501(c)(3) of the Internal Revenue Code. All donations and membership dues are tax-deductible to the maximum extent allowable by law.
Membership Type (Choose 1)
Annual Membership - $50 per year
Lifetime Membership - $500 one-time payment
Payment Options
Pay Online - we will send you a link once your application has been approved.
Pay by Check - Make check payable to FBI Cincinnati CAAA and mail it to:
FBI Cincinnati CAAA
9550 Mason Montgomery Rd, #1032
Mason, OH 45040
Revised July 18, 2026
FBI National Citizens Academy Alumni Association is a nonprofit organization separate and apart from the FBI
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