Personal InformationName(Required) First Last Date of Birth(Required) Month Day Year Email(Required) Cell Phone(Required)Home Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State/Region/Province Postal / Zip Code Employment InformationEmploying Agency(Required)(If you are retired, please list the agency you retired from.) Work Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State/Region/Province Postal / Zip Code Rank / Title / Classification(Required)IE: Deputy, Officer, Sergeant, etc. Badge or ID#(Required) Date of Hire(Required) Month Day Year Peace Office(Required) YES NO Retired(Required) YES NO Association InformationAssociation Name(Required) Association Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State/Region/Province Postal / Zip Code Association Phone(Required)Association Email(Required) Terms and ConditionsTerms and Conditions – Membership Application(Required)I HEREBY APPLY FOR MEMBERSHIP IN THE FRATERNAL ORDER OF POLICE LODGE #7 OF SACRAMENTO COUNTY AND PLEDGE TO PAY DUES AS SET FORTH IN THE SACRAMENTO COUNTY FOP LODGE #7 CONSTITUTION FOR ITS MEMBERS. DUES ARE PAYABLE YEARLY AND MUST ACCOMPANY THIS APPLICATION. I accept the Terms and Conditions. Terms and Conditions – Good Standing(Required)I AM A MEMBER IN ‘GOOD STANDING’ WITH MY RECOGNIZED BARGAINING UNIT (UNION OR ASSOCIATION). A MEMBER IN ‘GOOD STANDING’ IS A MEMBER WHO IS CURRENT ON PAYING DUES, HAS NOT WITHDRAWN, CANCELLED, TERMINATED OR RESIGNED FROM MEMBERSHIP OR HAS NOT BEEN EXPELLED OR SUSPENDED FROM MEMBERSHIP FOR CAUSE. I AGREE AND ACKNOWLEDGE SHOULD I LOSE MY STATUS AS A MEMBER IN ‘GOOD STANDING’ FROM MY RECOGNIZED BARGAINING UNIT (UNION OR ASSOCIATION) THAT MY ELIGIBILITY FOR SACRAMENTO FOP LODGE 7 MEMBERSHIP CEASES. I FURTHER AGREE TO NOTIFY THE SACRAMENTO COUNTY FOP LODGE #7 IMMEDIATELY UPON ANY CHANGE IN MY STATUS. I accept the Terms and Conditions. Membership Obligation(Required)I do most solemnly and sincerely promise and swear, that I will to the best of my ability comply with all the laws and rules of this Order; that I will recognize the authority of my legally elected officers and obey all orders therefrom not in conflict with my religious or political views, or my rights as an American citizen; that I will not cheat, wrong, or defraud this Order, or any member thereof, or permit the same to be done if in my power to prevent it; that I will at all times aid and assist a worthy Brother (or Sister) in sickness or distress, so far as it lies in my power to do so; that I will not divulge any of the secrets of the Order to anyone not entitled to receive them. To all of which I most solemnly and sincerely promise and swear. Should I violate this, my solemn oath or obligation, I hereby consent to be expelled from the Order. I affirm that all the information provided herein is true to the best of my knowledge. Release of Membership Status(Required)I HEREBY AUTHORIZE MY ASSOCIATION TO RELEASE MY CURRENT MEMBER STATUS TO SACRAMENTO FOP LODGE #7 FOR PURPOSES OF MEMBERSHIP. I UNDERSTAND AND AUTHORIZE THE RELEASE OF THIS FORM TO MY ASSOCIATION. I accept the Terms and Conditions. SignatureBY SIGNING, YOU AGREE TO THE TERMS AND CONDITIONS AS SET FORTH ABOVE.
