Member Registration Members Name First Last HeadshotAccepted file types: jpg, png, Max. file size: 1 MB.Please upload a headshot of yourself as a .jpg or a .png. It must not be any larger than 500px x 500px and must be less than 1MB.AgencyUsernamePassword Enter Password Confirm Password Email AddressCounty of Department or ResidenceRegion12345Home PhoneCell PhoneWork PhoneSession NumberMember NumberGraduation Date MM slash DD slash YYYY StatusSW- SwornR- RetiredANSW- Active Non swornD- DeceasedNAM – non-active memberOOS – out of state memberNAC – NA CoordinatorNATT – NA Training TechRFC – Removed for CauseRM – Resigned MemberPaid Through MM slash DD slash YYYY
