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Request for Promotion to FULL Member

No Fee

* Member ID#:
* NAME (Last, First, MI):
* Length of time as Provisional Member: _Yrs./_Mos.
* Email:
* Title/Position:
* Agency:
* Agency Address:
Agency Phone:
* Home Address:
* Time Zone:
Brief description of Crime Scene experience:
Length of time in BPA casework and/or research:
Brief description of background in BPA:
Number of scenes examined related to BPA:
List any additional BPA training:
Have you ever testified in court on BPA?
How many times have you testified?
Date(s) of testimony:
Court Jurisdiction(s):
* Professional Reference #1 - (Full Name):
* Reference #1 - Email:
* Reference #1 - Address:
* Professional Reference #2 - (Full Name):
* Reference #2 - Email:
* Reference #2 - Address:
List any teaching experience: