MEMBERSHIP APPLICATION

Become a Member of KGIA

All applicants are required provide a photocopy of their Official Identification Credentials for security verification. Please use the email button below to upload your credentials for review. Once completed, return to this page and complete the membership application process.

KGIA Membership Application Form

* Indicates required field

Name *

First

Last

Title/Rank *

DOB *

Agency Name *

Address *

Line 1

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City

State

Zip Code

Country

Agency Number *

Supervisor Name *

Supervisor Phone Number *

Applicant Phone Number *

Applicant Email *

Referred by *

Regular Membership is open to all law enforcement officers, correctional officers, probation and parole officers, juvenile and youth services officers, city, state, federal intelligence and investigations officers, city attorneys, county/district attorneys, state attorneys, or US attorneys, and other criminal justice professionals with an interest in gang activity. ($25.00). The prorated fee would be $12.50 if application is received between Aug. 1st and Jan. 31st. Full rate applies for applications received Feb. 1st to July 31st.

Associate Membership is open to those individuals employed by a private industry or educational institution which exhibits an interest in gang activity and criminal justice support; whose talents and interest are of benefit to the Association. ($15.00). The prorated fee would be $7.50 if application is received between Aug. 1st and Jan. 31st. Full rate applies for applications received Feb. 1st to July 31st.

Submit

Thank you for your interest in becoming a member of KGIA. If you prefer to mail your application with payment, click on the application form below, print and complete the form. Forms can be mailed to the address listed on the bottom of application.

Application Form

Become a Member of KGIA

KGIA Membership Application Form

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