Register – California Conference of Arson Investigators

Application for Membership

Active Membership: Any person, 18 years of age or older, who is a representative of a government agency, business, or industrial concern and is actively engaged in some phase of the suppression of arson or investigation of fires, at the time the application is submitted, will be eligible for membership in the California Conference of Arson Investigators and receive full voting privileges (pending application review and approval by the Board of Directors). Providing false information will result in cancellation of membership without a refund.

Note: The application must be filled out completely, or it will not be processed.

I hereby apply for membership in the California Conference of Arson Investigators in accordance with its Constitution and By-Laws and agree to be bound herewith.

I am submitting this application along with payment for dues.

Check box if prior member

Yes
No

First Name

MI

Last Name

DOB

Residence Information

Address Line 1

City

State

Zip Code

Email

Cell

Home Phone

Save and Resume Later

Employed By

Rank/Position

Agency Phone

Agency Fax

Immediate Supervisor

Supervisor's Rank/Position

Supervisor's Phone

Agency Address

Address Line 1

City

State

Zip Code

Mail Correspondence to

Office
Home

Job Duties

Save and Resume Later

Please indicate your preferred CCAI Website Username (Do not use an email address)

Your account password will be generated automatically and sent upon account confirmation.

Do you wish to have your name available in the CCAI Membership Directory on the website?

Yes
No

Do you have any criminal convictions (excluding traffic)?

Yes
No

Referred By

Phone Number

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ALL INFORMATION GIVEN BY ME ON THIS APPLICATION IS WARRANTED TO BE TRUE.

Yes

CHECKING THIS BOX DENOTES PERMISSION FOR CCAI TO VERIFY ALL INFORMATION PROVIDED ON THIS APPLICATION

Yes

Application for Membership

Member Services

IAAI Links

Disclaimer

Business Address