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Before submitting your application, first read the verified membership guidelines located in the top menu bar. Important Notice: You must be a registered member of the forums for 30 days with a minimum of 30 posts before your application will be accepted.
Applicant Information
Registered Forum Name:
*
First & Last Name:
*
Street Address:
*
City:
*
State:
*
Zip Code:
*
Home Phone Number:
*
Email Address:
*
Secondary Email:
Spouse (Officer) Information
First & Last Name:
*
Agency Employed With:
*
Agency Address:
*
Agency City:
*
Agency Zip Code:
*
Agency Phone Number:
*
Current Rank:
*
Additional Information:
Relationship Status:
*
Living Together - Dating
Living Together - Engaged
Married
Married but Separated
Married, divorce pending
Length of Your Relationship:
*
Less than 6 months
6 months - 1 year
1-2 Years
3-5 Years
6 + Years
How did you hear about National Police Wives Association?
*
Is there any other information you would like to include in considering your application:
Document Upload
Please include a scan or photocopy of the applicant's State Issued ID, spouse's State Issued ID, and spouse's Agency Issued ID. The photo, name, and address information must be clearly visible or your application will be denied
Applicant ID:
*
Spouse ID:
*
Spouse Agency ID:
*
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