Membership into the Connecticut association of Licensed Private Investigators (CALPI) is taken as an individual only and is not transferable. the application must be completed in its entirety and signed. Partial applications or missing supporting documents will not be accepted. All completed applications forms must include: 1)Payment,2)supporting documents, and 3) a letter of introduction written on company or agency's letterhead. Supporting documents include: copy of individuals, partnerships, corporations, licensed by the Department of Public Safety Division of the State Police-Special Licensing & Firearms Unit with "I"FI""S""IS"A""AS" and "AA" licenses. (voting Membership) which includes membership privileges through December.Associate Membership dues are $75.00 available to persons in an investigative capacity employed by a licensee who is a member in good standing with CALPI.LLC, membership privileges through December. CALPI does not accept credit card payments, all checks should be made payable to CALPI,LLC.

PLEASE TYPE OR PRINT

LAST NAME______________________FIRST______________________MIDDLE_________________


COMPANY:________________________________________TITLE_______________________


STREET ADDRESS_________________________CITY______________STATE_______ZIP_____

   
PHONE:_____/______/______      FAX______/______/______CELLULAR______/_____/_____


   (CIRCLE ONE)   M OR F      PROFESSIONAL MEMBER         ASSOCIATE MEMBER


IF ASSOCIATE MEMBER LIST EMPLOYER____________________________________________________________

(EMPLOYER MUST BE A CALPI MEMBER IN GOOD STANDING)

EMPLOYER'S STATE LICENSE NO_______________ EMPLOYEE'S STATE REGISTRATION NO.___________________


PREVIOUS EMPLOYMENT EXPERIENCES:_____________________________________________________________

______________________________________________________________________________________________

PLEASE CIRCLE SPECIALTY CODE (S)

INSF	INSURANCE LIABILITY/FRAUD	CPR	COMPUTER CRIMES	AST	ASSET CHECKS
BKG	BACKGROUND CHECKS	CCA	CHILD CUSTODY/ABUSE	CCR	CORPORATE INVESTIGATIONS
ARC	ACCIDENT RECONSTRUCTION	SUR	SURVEILLANCE	VID	VIDEO
ARS	ARSON	MSP	MISSING PERSONS	WHT	WHITE COLLAR CRIME
SKT	SKIP TRACE	CRM	CRIMINAL INVESTIGATIONS	WKC	WORKERS COMPENSATION
POG	POLYGRAPH EXAM	PMS	PREMARITAL INVESTIGATIONS	EMT	EMPLOYEE THEFT
SCI	SEX CRIMES	PES	PRE-EMPLOYMENT SCREEN	PSS	PROCESS SERVING
DOM	DOMESTIC/MATRIMONIAL	OTHER PLEASE SPECIFY:

I give full consent to the Connecticut Association of Licensed Private Investigators, LLC, its Board of Governors, members and/or their agents, to investigate this application and inquire into my reputation, character and fitness for membership into the CALPI,LLC. I hereby release the above named organization, Board of Governors, members and/or agents from all liability claims, injuries (implied or actual) in matters emanating from such investigations. If accepted, i promise to uphold the By-laws, Codes of Ethics, Mission Statements and rules of this Association.

NOTE: In the event the application is not approved the dues payment will be refunded..

Licensee Signature:_{________________________________________Date___________________________}

Employee Signature:___________________________________Date________________________

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by The Connecticut Association of Licensed Private Investigators,LLC