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NLSSA Membership

NLSSA Membership Form

Annual Fee: $50

c/o Sam Smith
NLSSA Treasurer
Senate Security
Alabama Legislature
11 South Union Street, Suite 720
Montgomery, AL 36130

Phone: 334-242-7835
Fax: 334-242-8819
samsmith2@bellsouth.net

MEMBERSHIP CATEGORIES (Please select one):

____ACTIVE MEMBER  Individuals renewing their NLSSA membership and who serve state legislatures as sergeant-at-arms, law enforcement officers, and others in an administrative, service or security related capacity that are not otherwise eligible to join other staff sections of the National Conference of State Legislatures.

____NEW MEMBER  Individuals seeking membership for the first time in NLSSA, and who serve state legislatures as sergeant-at-arms, law enforcement officers, and others in an administrative, service or security related capacity who are not otherwise eligible to join other staff sections of the National Conference of State Legislatures.

____ACTIVE ASSOCIATE MEMBER  Individuals wishing to renew their NLSSA membership as an Associate Member and who have a peripheral interest in, and who will be of benefit to the association. Associate Members shall enjoy all privileges of the association except voting privileges.

____NEW ASSOCIATE MEMBER  Individuals seeking membership for the first time in NLSSA and who have a peripheral interest in the organization and who will be of benefit to the association. Associate Members shall enjoy all privileges of the association except voting privileges.

____ADVISORY MEMBER  Individuals serving as elected State Legislators wishing to seek membership in NLSSA.  Advisory Members serve on the NLSSA Legislative Advisory Committee and will have a vote on the executive board.
____Remove my name from NLSSA membership. (email samsmith2@bellsouth.net)
 

BIOGRAPHICAL INFORMATION

Please enclose a color photo of yourself for the roster.

Last Name____________________________First Name__________________________Initial_______

Title________________________________________________________________________________

Organization_________________________________________________________________________

Full Address_________________________________________________________________________

Business Phone (_____) _____________________ FAX (_____) _______________________________

E-Mail: ___________________________________ Home Phone: ______________________________

Name of Spouse (If Applicable):____________________________________________

Areas of Expertise (i.e., CPR-certified, office administration, chamber security, capitol security, page
programs, facility management, capitol tours, historic preservation, nurse, EMT, threat assessment, conflict
resolution, etc.) ____________________________________________________________________________________
____________________________________________________________________________________

If you work in security, are you a commissioned peace officer? ______________

Education (college, high school, special training):
____________________________________________________________________________________

Professional - Business & Career (positions you have held, professional associations) :
____________________________________________________________________________________
____________________________________________________________________________________

Community (community activities and organizations) :
____________________________________________________________________________________
____________________________________________________________________________________

Awards and Honors (please list any significant awards received and date):
____________________________________________________________________________________

Military Service:_______________________________________________________________________
 
Please make checks payable to NLSSA and remit payment to:

Sam Smith
NLSSA Treasurer
Senate Security
Alabama Legislature
11 South Union Street, Suite 720
Montgomery, AL 36130

NOTE:

  • Postmark deadlines for remittance are July 1 and September 1.
  • Dues received and postmarked on, or before, July 1 will entitle eligible members to be nominated or to seek election to a national or regional office at the NLSSA Annual Training Conference business meeting, pursuant to Article VI, Section 4 (c) of the bylaws of the Association.
  • Dues received and postmarked on, or before, September 1 will entitle eligible members to vote at the NLSSA Annual Training Conference business meeting, pursuant to Article VI, Section 4 (a) of the bylaws of the Association.

For more information about NLSSA, write or call:
Diane Chaffin, NCSL Liaison to NLSSA
Phone: 303-856-1368
Fax: 303-364-7800
E-mail: diane.chaffin@ncsl.org

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