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ATTENTION APPLICANT:  Please read the OACP Canon of Ethics CLICK HERE, before you complete the following application.  Thank you!

Type of membership I am applying for:*
Name:*
Agency/Organization:*
Address:
E-mail:*
Phone:*
Fax:
County:
Municipality:
Resident Address:
Resident Phone:
Spouse:
Referred By:
As defined by municipality is Chief?*
Date you were appointed Chief: (if applicable)
Are you a certified Ohio law enforcement officer?*
I certify that I have read and subscribe to the OACP Canon of Ethics:*
By virtue of this application, I accept the obligation to abide by the code and acknowledge that a violation on my part may result in action by the OACP Professional Services Committee:*
By marking this box, please accept this as my signature:*
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