Alexandria, VA 22314-2818 Demographic Information New ... brochure_application.pdfMAIL IND. CHAPTER 6 8 Demographic Information 15. Age 16. Gender O Male O Female 17. Race O American

Security is your concern.Helping you provide it is ours.

Join today for a multitude of benefits:

Unrivaled networking opportunities

Up-to-date security information

Opportunities to build your reputation and credentials

Superior professional development programs

1625 Prince StreetAlexandria, VA 22314-2818

USAPhone: 703-519-6200

Fax: [email protected]

06/08

MANY QUESTIONS. ONE ANSWER.

SECURITYINSTRUCTIONS: Please provide all of the information requested and mail or fax all four pages of the completed application to

ASIS International at the address or fax number shown on page 4. Incomplete applications will be returned. Your payment must be

included with this application in order for it to be processed.

Membership in ASIS is individual and is not transferable from one person to another.

Personal Information

To which chapter do you wish to belong?________________________________________________________________________________

(log onto www.asisonline.org/chapters/index.xml to find your desired chapter)

Preferred mailing address: Business Home

First name Middle name Last name

Security-related certifications (check all that apply): CPP PCI PSP Other (specify)

Title

Company

Business address

City State/province ZIP/postal code

Country

Business phone (including country code, area code/city code) Business fax (including country code, area code/city code)

E-mail address

Home address


Country

Home phone (including country code, area code/city code)

Person who introduced you to ASIS His/her phone number or employer

Page 1 of 4

1625 Prince Street

Alexandria, VA 22314-2818

USA

703-519-6200

Fax: 703-519-6298

www.asisonline.org

Application for Membership

MP071

Demographic Information15. Age

Date of birth (year) ___________________________________________

16. Gender Male Female

17. Race American Indian Pacific Islander Asian White Black Other (specify: ____________________ )

18. Education: Please specify highest level completed. High school Bachelor's degree Associate's degree Graduate degree (specify: _________ )

19. Income: Which category best reflects your annual total compensation (salary, bonuses, stock options, etc.) from your security position?

< $25,000 $75,001–$100,000 $25,001–$50,000 $100,001–$125,000 $50,001–$75,000 $125,000+

Eligibility Information20. A. Have you ever been convicted of a crime (or in military service

convicted by a general court martial) or is there any criminal charge now pending against you?

Yes No

B. Have you ever had a professional membership, license, registration, or certification denied, suspended, or revoked (other than a lack of minimum qualification or failure of examination)?

Yes No

C. Have you ever been censured or disciplined by any professional body or organization?

Yes No

If the answer to one or more of these questions is “Yes,” explana-tions on signed and dated separate sheet(s) must be attached. This information will not be circulated outside the ASIS International Board of Directors or its executive director.

Applicant must not have been convicted of any criminal offense which would reflect negatively on the security profession and ASIS.

Statement and SignatureI certify that all information herein is true and complete to the best of my knowledge and belief. I authorize verification of this information, and release all concerned from any liability in connection therewith. I hereby apply for membership in ASIS International and have read and understand the qualifications of membership, processing fees, and dues payment requirements. I agree to abide by ASIS International's bylaws, to adhere to its code of ethics, and to promote its objectives. Providing false or misleading information in this application form or failure to adhere to ASIS bylaws and code of ethics shall be grounds for denial of membership or expulsion from ASIS International whenever discovered.

Signature

Date

Membership Class Descriptions

New Member Dues

Membership is individual and is not transferable from one person to another. Dues and a processing fee of $20 are nonrefundable. Annual renewal dues are $150 for all members, except students who pay $20.ASIS FED. ID #53-0234507Annual dues payments cover one calendar year. All memberships expire on December 31 of each year. Members whose applications are accepted prior to July 1 pay full-year dues. Those whose applications are accepted on or after July 1 pay $95 which will cover membership through December 31. Contri-butions or gifts to ASIS are nondeductible as charitable contributions, but dues payments may be deductible as ordinary business expenses.

Note: Fees for Security Management magazine, published monthly for $29 per year, and Dynamics, including an annual directory of members, published bi-monthly for $11 per year, are included in your full-year ASIS membership dues. (Half-year amounts: Security Management, $14.50; Dynamics, $5.50.)

Foundation ContributionHelp build your Foundation through a contribution. The ASIS Foundation conducts charitable and educational activities and research in areas related to the security profession. Your contribution is tax deductible and strictly voluntary. An ASIS Foundation financial statement is available from the Virginia State Division of Consumer Affairs.

Total Payment

Payment in U.S. dollars $ ______________

Foundation contribution $ ______________

Total amount enclosed $ ______________

Method of Payment (Please print clearly)

Check enclosed. All checks must be in U.S. dollars and drawn on a U.S. bank. There is a $25 returned check charge. Applicant is responsible for all bank and other fees if

payment is made by wire transfer.

Please charge: MasterCard VISA American Express Discover

Cardholder name

Card number

Expiration date

Authorized amount

Cardholder signature

MemberProfessional in an executive, managerial, supervisory, or responsible charge position who is primarily responsible for the security function of his or her organization.

AssociateIndividual with a professional interest in security, seeking the educational benefits provided by membership in ASIS International.

StudentSee page 2.

Fees

Class Total

Member/Associate $170

Student $25

/0

Page 4 of 4

Questions?

Contact the ASIS Member Services Department at 703-519-6200 with any questions concerning ASIS membership and application status.

FOR ASIS USE ONLY

MEMBERSHIP #

APPR. DATE

MEMBER TYPE

MAIL IND.

CHAPTER

6 8







< $25,000 $75,001–$100,000 $25,001–$50,000 $100,001–$125,000 $50,001–$75,000 $125,000+



Yes No


Yes No


Yes No




Signature

Date


New Member Dues




Total Payment








Cardholder name

Card number

Expiration date

Authorized amount




StudentSee page 2.

Fees

Class Total


Student $25

/0

Page 4 of 4

Questions?


FOR ASIS USE ONLY

MEMBERSHIP #

APPR. DATE

MEMBER TYPE

MAIL IND.

CHAPTER

6 8

Mail to: P.O. Box 17673, Baltimore, MD 21297-1673or fax to: 703-518-1473

Many Questions:How do I best manage security in the post 9/11 world?

Where can I stay on top of changing technology?

Who provides quality professional development programs?

Where can I find the next security position in my career?

Who forms strategic alliances to help promote the security profession worldwide?

one answer...asis international

ASIS IS ADVANCING SECURITY WORLDWIDEWITH MORE THAN 200 CHAPTERS

AegeanAkron-Canton (OH)Alabama (North)AlaskanAppalachianArgentinaArizona (Southwest)Ark-La-TexArkansasAtlanta (Greater)Atlantic CanadaAustin (TX)Australia (West)Austria

BaltimoreBaton Rouge (LA)BeneluxBirminghamBogota, ColombiaBostonBrazil

Calgary/Southern AlbertaCalifornia (Central Valley)California Inland EmpireCanadian PacificCanadian PrairieCape TownCaracasCentral IllinoisCentral New YorkCharleston (Greater)Charlotte (Greater)Chattanooga Tri-StateChicagoChileCincinnati Tri-State (OH)Cleveland (OH)Colorado (Northern)Columbia River (OR)Columbus (OH)ConnecticutConnecticut (Southern)Cordoba ArgentinaCzech Republic

Dayton (OH)DelawareDenmarkDenver Mile-Hi (CO)DetroitDubai, UAE

EcuadorEdmonton/Northern AlbertaEl Paso (TX) & Juarez (Mexico)

Fayetteville (Greater)FinlandFlintFlorida W CoastFort LauderdaleFort WayneFox Valley (WI)FranceFredericksburg/QuanticoFresno Valley (CA)

GermanyGolden Gate (CA)Granite StateGuatemala

HawaiiHong KongHouston (TX)Hudson-Mohawk

IdahoIl North ShoreIlli-AnaIllinois (Northern)IndianapolisInland Empire (OR & WA)Iowa (Central)Iowa (Eastern)IrelandItaly

Jackson (MS)JacksonvilleJamaicaJapanJeddahJersey (South)Johannesburg

Kansas City

Lake Erie (PA)LansingLas Vegas (NV)Lehigh ValleyLexington, KY (Greater)Long IslandLos Angeles, CA (Greater)Louisville (KY)

MaineMaryland SuburbanMassachusetts (Western)MemphisMexicoMexico (Northwest)Mexico, NorthMiamiMichigan (Southwestern)

Michigan (Western)Mid-HudsonMid-TennesseeMiddle EastMilwaukee, WI (Greater)MinnesotaMississippi (Gulf Coast)Mobile Bay (AL)Monterey Bay (CA)MontgomeryMontreal

NC Research TriangleNational CapitalNevada (Northern)New Delhi, IndiaNew Jersey (Central)New Jersey (Northern)New Jersey (Western)New MexicoNew Mexico (Northern)New Orleans, LA (Greater)New South WalesNew York (Western)New York CityNew ZealandNigeriaNorth Carolina Azalea CoastNorth Carolina PiedmontNorway

Oklahoma CityOlympic Mountain (WA)OmahaOntario, SouthwesternOrange County (CA)Orlando (Greater)OttawaOzarks

PanamaPennsylvania (Central)PeruPhiladelphia (Greater)PhilippinesPhoenix (AZ)Pikes Peak (CO)Pittsburgh (PA)Port Harcourt NigeriaProvidencePuerto RicoPuget Sound (WA)

RichmondRio de JaneiroRiyadhRochester

Sacramento (CA)Saginaw ValleySalt Lake (UT)San Antonio, TX (Greater)San Diego (CA)San Fernando Valley (CA)San Francisco Bay Area (CA)Santa Barbara (CA)Savannah River (Central)Schuylkill ValleySingaporeSmoky MountainSouth Carolina (Central)South Carolina (Western)South DakotaSpace CoastSpainSpokane (WA & ID)St. LuciaSt. LouisSwedenSwitzerland

TaiwanTexas (Gulf Coast)Texas (North)TidewaterToledoTopekaTorontoTrinidad/TobagoTulsaTurkey

United Kingdom

Victoria, Australia

West MexicoWest Virginia (Central)Westchester CountyWichita, KSWillamette Valley, ORWisconsin (Central)

Employment–Current Position❏ Full-time ❏ Part-time If part-time, number of hours________

Present employer

Job title

Date employed (month and year)

Description of security duties and responsibilities (use extra sheet if necessary)

Page 2 of 4

Critical Infrastructure/Key Resources Information (U.S. Members Only)Please put a check next to the one box that best describes the industry sector or sub-sector in which you work currently. This data will be used to contact you with important information from the federal government regarding threats to your industry. It also will enable ASIS to reach out to you when the federal government needs information regarding issues affecting security in your industry. This may be important, particularly in an emergency.

Agriculture and Food ❏ 35 Food processing ❏ 37 Food production ❏ 38 Food sales

Banking and Financial Services ❏ 101 Financial markets ❏ 33 Financial utilities ❏ 42 Insurance (all types) ❏ 57 Physical repositories for assets/documents ❏ 64 Retail/wholesale banking

Chemical Industry/HAZMAT ❏ 11 Chemical manufacturers ❏ 12 Chemical service/delivery

Commercial Facilities ❏ 47 Lodging ❏ 54 Office buildings ❏ 62 Recreational facilities ❏ 65 Shopping centers ❏ 66 Sports stadiums ❏ 70 Theme parks

❏ 102 Dams

Defense ❏ 103 Uniformed services ❏ 104 Civilian employees

Defense Industrial Base/Contractors ❏ 18 Materials ❏ 19 Services ❏ 80 Weapons

Educational Institutions ❏ 105 Universities/colleges ❏ 106 Secondary schools

Emergency Services/Law Enforcement Law enforcement ❏ 107 Federal ❏ 108 State ❏ 109 Local ❏ 27 Fire ❏ 24 Emergency medical

Energy ❏ 23 Electricity ❏ 51 Natural gas ❏ 55 Oil ❏ 82 Pipelines

Government Facilities ❏ 30 Federal ❏ 67 State ❏ 46 Local

❏ 110 Internet and Cybersecurity

National Monuments and Icons ❏ 15 Cultural icons/museums ❏ 40 Historical attractions ❏ 83 Monuments ❏ 50 National parks

❏ 111 Nuclear (Commercial) Reactors, Materials and Waste

Postal and Shipping ❏ 59 Private industry mailing/shipping ❏ 78 U.S. Postal Service

Public Health and Healthcare ❏ 81 Blood supply facilities ❏ 41 Hospitals and clinics ❏ 44 Laboratories ❏ 53 Nursing homes ❏ 56 Pharmaceuticals ❏ 68 Federal/state/local health departments

Telecommunications ❏ 58 Private enterprise networks ❏ 61 Public switched telecommunications networks (telephone and data)

Transportation ❏ 72 Aviation/airports ❏ 73 Highways ❏ 74 Maritime/seaports ❏ 75 Public mass transit ❏ 76 Rail ❏ 77 Trucking

❏ 112 Water and Water Treatment Systems

Student Memberships Only

IMPORT ANT: Only full-time students are eligible for student membership (that is, undergraduate students taking at least nine credit hours, and graduate students taking at least six credit hours). Student membership is not available to applicants who currently are employed full-time in security in a supervisory or managerial position.

In order to be considered for acceptance as a student member, you must attach either a copy of your current student identification card or a letter from your college or university registrar stating that you are enrolled in a degree program. Applications without a copy of the student ID or letter from the registrar will be returned.

Are you enrolled currently as a full-time degree candidate at an accredited college or university? ❏ Yes ❏ No

Upon completion of your degree program, do you plan to be engaged in full-time security work? ❏ Yes ❏ No

How many credit hours are you taking currently? Expected date of graduation

Expected degree (A.A., B.S., B.A. . . .) Major

Name of college/university Location of college/university

* Responsible charge shall mean that charge exercised by an individual who makes decisions for the successful completion of objectives without reliance upon directions from a supervisor as to specific methods or techniques.

❏ 54 Academic programs❏ 57 Business practices/

management❏ 88 Cargo security ❏ 33 Crime/loss prevention❏ 36 Drug/substance abuse ❏ 52 Economic crime❏ 35 Emergency/crisis

management❏ 37 Employee theft❏ 11 Executive protection❏ 55 Facility management❏ 38 Fire prevention❏ 66 Fraud❏ 63 Gaming and wagering❏ 79 Homeland security❏ 56 Human resources❏ 32 Information technology❏ 80 Infrastructure protection❏ 40 Investigations/auditing❏ 42 Liability/risk management

Physical security ❏ 81 Design ❏ 82 Management ❏ 83 Sales ❏ 84 Technical❏ 69 Privacy/personnel

information❏ 71 Proprietary information❏ 72 Public policy❏ 87 Safety❏ 39 Security force management❏ 75 Supply chain protection❏ 85 Surveillance❏ 76 Telecommunications/

communications❏ 31 Terrorism❏ 77 Transportation❏ 86 Warehousing❏ 13 Workplace violence❏ 50 Other (specify: ___________________)

Survey InformationThe following information is vital to ASIS for maintaining its postal status and for communicating with members more effectively.

1. Number of persons supervised directly:

❏ a. 0 ❏ d. 11-15❏ b. 1-5 ❏ e. 16-20❏ c. 6-10 ❏ f. 20+

2. Total time spent working on security matters:

❏ a. < 20% ❏ d. 61-80%❏ b. 21-40% ❏ e. 81-100%❏ c. 41-60%

3. Are you in a responsible charge* position?

❏ a. Yes ❏ b. No

4. Total number of employees working for my organization:

❏ a. < 100❏ b. 101-500❏ c. 501-1,000 ❏ d. 1,001-10,000❏ e. 10,001-25,000❏ f. 25,001-50,000❏ g. 50,001-100,000❏ h. 100,000+

5. The security function in my company reports to:

❏ a. CEO ❏ b. Facilities❏ c. Financial❏ d. Human resources❏ e. Legal ❏ f. Operations❏ g. Risk management/auditing❏ h. Other (specify: _______________)

6. The following statement best describes my function (select only one):

❏ I provide security management functions for my employer. [1]

❏ My employer is a security management provider, and I perform full-time security management functions for a client company. [2]

❏ I provide security services or products. [4] ❏ I supervise the security function, but am not a security professional. [5] ❏ I am in law enforcement or the military. [6] ❏ I am an educator. [7] ❏ I am a full-time student. [8]

7. Annual budget for corporation/organization: ❏ o. < $100,000 ❏ s. $5,000,001–$20,000,000 ❏ p. $100,001–$500,000 ❏ t. $20,000,001–$50,000,000 ❏ q. $500,001–$1,000,000 ❏ u. $50,000,001–$1 billion ❏ r. $1,000,001–$5,000,000 ❏ v. $1 billion+

8. Annual budget for security:

❏ o. < $10,000 ❏ s. $200,001–$500,000 ❏ p. $10,001–$50,000 ❏ t. $500,001–$1,000,000 ❏ q. $50,001–$100,000 ❏ u. $1,000,001–$5,000,000 ❏ r. $100,001–$200,000 ❏ v. $5,000,000+

9. I am the most senior security professional: a. At my location ❏ Yes ❏ No b. In my entire corporation ❏ Yes ❏ No

10. My title is (which of the following best describes your position?) (select only one):

❏ 95 Active military/government personnel ❏ 89 Architect/engineer ❏ 94 Consultant ❏ 92 Executive/financial management (owner, partner, president, vice president, controller, or treasurer) ❏ 96 Law enforcement ❏ 93 Other management (director, manager, or supervisor of

safety/human resources/plant/facility/operations or other management personnel)

❏ 91 Security/loss prevention management (vice president, director, manager, or supervisor of security)

❏ 99 Other (specify: _______________________________________)

11. My company’s primary type of business at this location is (select only one):

❏ 60 Architectural/engineering firm ❏ 61 Communications (telephone, cable, media) ❏ 62 Distributor/warehousing ❏ 63 Educational institution (school, university, library, museum) ❏ 73 Energy (oil, gas, mining extraction) ❏ 64 Entertainment or sports facility ❏ 65 Financial services/insurance ❏ 66 Government/administrative agency ❏ 69 Healthcare ❏ 70 Hospitality/themed entertainment/casino

❏ 71 Industrial/manufacturing ❏ 85 Information technology ❏ 68 Law enforcement/corrections ❏ 76 Consulting ❏ 67 Military ❏ 74 Real estate (commercial/residential) ❏ 82 Research and development ❏ 75 Retail/food services Security ❏ 78 Dealer/installer ❏ 79 Investigations ❏ 77 Protective services ❏ 80 Transportation (air, rail, surface) ❏ 81 Utility (gas, electric, nuclear, water) ❏ 83 Other (specify: ____________________________________________)

12. I am responsible for and/or interested in the following security areas (check all that apply):

This information will be used to customize communications to your specific needs.

13. How did you first hear about ASIS? ❏ a. Direct mail ❏ b. Word of mouth ❏ c. Attended ASIS program ❏ d. Trade publication (specify: _________________________________) ❏ e. Trade show (specify: ______________________________________) ❏ f. Web site (specify:__________________________________________) ❏ g. Other (specify: ____________________________________________)

14. Are you interested in volunteer leadership in ASIS International? (If yes, you must include an e-mail address on page 1.)

❏ Yes ❏ No

Page 3 of 4

FOR MORE THAN 50 yEARs, security management professionals around the world have turned to ASIS International (ASIS) for knowledge, professional development, and networking opportunities. With more than 36,000 members and growing daily, ASIS is the leading organization for security professionals. We aggregate the information and resources you need so you can focus on the job at hand—and, stay one step ahead of the curve.

At ASIS, we are dedicated to increasing the effectiveness and productivity of security professionals by developing educational programs and materials that address broad security interests, as well as specific security topics. ASIS also advocates the role and value of the security management profession to business, the media, government entities, and the general public. Our range of expertise and services is broad, but our vision is simple: advancing security worldwide.

Our 36,000+ members aren’t just an impressive number— they are the strength of our organization. Together, they pos- sess unparalleled expertise in the security industry to tackle today’s toughest security challenges. And all have one thing in common: ASIS International. Our members’ dedication and commitment to advancing the security profession make ASIS the leader in the industry.

Only ASIS brings you experience and expertise in all aspects of security management:

• assets protection • terrorism

• loss prevention

• access control

• global security

• physical security

• school security

• training/management

• information technology

• emergency planning

• investigations

• workplace violence

• crisis management

• executive protection

• industry-specific topics

…and more.

Everyone is concerned about security these days,

but at ASIS International, the preeminent organization

for security professionals, we know it’s more than a

concern to you—it’s your number one responsibility.

Helping you excel in the security industry is ours.

ONE GOAL...yOUR sUCCEss IN THE sECURITy PROFEssION

1. Unrivaled networking opportunities with more than 36,000 of your industry peers.

2. Up-to-date information, including industry best practices, new technologies, and emerging trends.

3. Complimentary subscription to Security Management magazine, the leading security industry publication.

4. Opportunities to build a professional reputation and credentials.

5. Tailored professional development programs to fit your specific career goals.

6. Advocacy of the security industry to the government and business communities.

7. Board-certified, professional designations.

8. Members-only access to new career opportunities in security management.

9. Access to more than 350 peer-reviewed, security-related publications.

10. Discounts on educational program and ASIS Seminar registration, merchandise, and certification programs.

TEN REAsONs yOU BENEFIT FROM BECOMING AN AsIs INTERNATIONAL MEMBER

Who Can Join

ASIS International?

In today’s environment, security issues affect organizations at all levels worldwide. Anyone whose responsibilities include the manage-ment of security should be a member of ASIS International. Anyone who is concerned about secu-rity can be a member.

Our diverse membership ranges from security professionals, financial managers, attorneys, and corporate execu-tives to law enforcement professionals, military personnel, consultants, and others with a vested interest in security issues.

Classes of

Membership

MembersProfessionals in an executive, managerial, supervisory, or respon-sible charge position who are primarily responsible for the security function of their organization.

Associate membersIndividuals with a profes-sional interest in security, seeking the professional development benefits provided by membership in ASIS International.

Student membersFull-time students actively pursuing a security- related degree, taking at least nine undergraduate or six graduate credit hours at a duly accred-ited college or university. Note: student member-ships are not available to those who would otherwise qualify for member/associate status.

FOUR CORE THEMEs...A MULTITUdE OF BENEFITs

Directory of Members Locate your colleagues in the security profession anywhere, anytime. The ASIS Dynamics membership directory allows you to access other members around the world, by name, organization, or location. Available in hard copy or online at www.asisonline.org.

Special Interest Councils Join one or more of our 30+ special interest councils and take part in the debate on emerg-ing issues shaping the future of security management. Councils focus on subject matter ranging from theft of proprietary information and disaster management to financial services and physical security.

Chapter Involvement Get linked to what’s happening in the security arena in your region through one of 200+ ASIS International chapters around the world. Chapters organize programs focused on local and regional issues, and provide valuable professional connections.

Education Conferences Discover the best place to network with your colleagues in the security field—ASIS professional development programs, the Annual Seminar and Exhibits, and our annual international conferences in Europe and Asia. There’s simply no bet-ter place to share insights and concerns about common challenges, new ideas, and emerging opportunities in the secu-rity industry.

Unrivaled Networking Opportunities

TEN REAsONs yOU BENEFIT FROM BECOMING AN AsIs INTERNATIONAL MEMBER

Up-to-date Information

Security Management Magazine Discover what business executives call their best resource on security trends: ASIS International’s Security Management magazine. Written by leading experts and professionals in the security industry, this monthly magazine features in-depth analysis on industry challenges, insight into new research, and a candid look at the people leading the industry. ASIS members receive a complimentary subscription to Security Management.

ASIS Security Industry Buyers Guide Make smart buying decisions for your company with this valuable sourcebook of products and services. The Buyers Guide—available to ASIS members online and in print—helps you compare products and locate industry experts.

O.P. Norton Information Resources Center (IRC) Tap into the greatest single source of security-related information, including the largest collection of security publications, online databases, video-tapes, research, and more. Our team of reference librarians at the IRC can help you zero in on just what you need.

ASIS Online For the latest industry information, visit www.asisonline.org. In addition to news, the site’s members-only section features job listings, e-mail forums, Q&As, publication resources, and access to our complete Dynamics membership directory.

Dynamics Keep in-the-know about what ASIS is doing on your behalf at the local, regional, national, and international levels with our bimonthly membership newsletter.

ASIS Bookstore Shop for more than 350 peer-reviewed and recommended publications, CDs, tapes, and other mer-chandise through the ASIS Bookstore. Members receive a 30-percent discount on ASIS-published books.

Employment Resource Service (ERS) Discover new management-level positions in the security industry or locate qualified security management practitioners to fill positions at your company through our ERS. The ERS is the most comprehen-sive, online, up-to-date career resource of its kind—and, the position openings are accessible only to ASIS members!

Opportunities to Build a Reputation and Credentials

Leadership Potential Develop your own career network through involvement in a variety of ASIS programs. Whether it’s participating in one of more than 200 regional chapters around the world, serving on one of our special interest councils, or simply volunteering your expertise through other activities, ASIS provides a unique opportunity to connect with security professionals at the top of their fields and improve your leadership skills within the industry.

Certified Protection Professional (CPP) Designation Advance your career goals through professional certi-fication. Our CPP designation—admin-istered by ASIS for more than 30 years—is the security industry’s highest recognition of practitioners. The CPP is awarded based upon career experience and passage of an examination that tests broad-based security knowledge

and competency in security management. It is evidence that you are “board certi-fied in security management.”

Professional Certified Investigator (PCI) and Physical Security Professional (PSP) Designations Seek professional certification in two technical areas through ASIS. The PCI helps employers identify those whose primary responsibility is to conduct inves-tigations. The PSP is awarded to persons whose primary responsibility is to con-duct threat surveys; design integrated security systems that include equipment, procedures, and people; or install, oper-ate, and maintain such systems.

Professional Development and Education Programs

Annual Seminar and Exhibits Join more than 23,000 of your peers from around the world to discover new technology and to learn the latest about security issues, trends, and best prac-tices at the ASIS International Annual Seminar and Exhibits. With 155+ profes-sional development sessions and more than 900 exhibitors, it’s the most com-prehensive networking and educational event in the security industry. And, as always, ASIS members enjoy discount-ed registration.

Annual European Conference Tackle some of the most timely and complex issues facing the global busi-ness community at the ASIS European Conference. This event provides a comprehensive perspective and fresh approaches to the security challenges faced by security practitioners in a global economy.

ASIS Professional Development Secure your continuing education with more than 20 different ASIS classroom programs. From one-day intensive programs focusing on a single topic, to in-depth courses covering all aspects of security management, our classroom programs are tailored to fit your specific professional goals. As an ASIS member, you’ll receive substantial discounts on programs, which often exceed your total annual dues.

ASIS education also goes far beyond the classroom to include an array of offerings that enable you to choose the delivery method that works the best for you—whether self-study, e-learn-ing, Virtual Forums, or university degree partnerships via distance learning. We’ll even bring our programs to your workplace—an ideal solution for organizations that need training for a small team or a whole department.

This is a

challenging

period for security

professionals.

There has never been a more important time for you to stay on top of your profession, to network with your peers, and to keep abreast of changes and trends in the industry.

The best way to do that is to join ASIS International. Your membership is a potent tool you will use to help make ASIS more visible and integral to the industry and to assure your professional career development.

Whatever your level of experience, your membership in ASIS will help you define your role in the security field.

Join today.

It’s the best

investment you

will make in

your career.

www.asisonline.org


















Kansas City










United Kingdom

Victoria, Australia



Present employer

Job title



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❏ 102 Dams
































❏ a. 0 ❏ d. 11-15❏ b. 1-5 ❏ e. 16-20❏ c. 6-10 ❏ f. 20+


❏ a. < 20% ❏ d. 61-80%❏ b. 21-40% ❏ e. 81-100%❏ c. 41-60%




❏ a. < 100❏ b. 101-500❏ c. 501-1,000 ❏ d. 1,001-10,000❏ e. 10,001-25,000❏ f. 25,001-50,000❏ g. 50,001-100,000❏ h. 100,000+









❏ o. < $10,000 ❏ s. $200,001–$500,000 ❏ p. $10,001–$50,000 ❏ t. $500,001–$1,000,000 ❏ q. $50,001–$100,000 ❏ u. $1,000,001–$5,000,000 ❏ r. $100,001–$200,000 ❏ v. $5,000,000+






❏ 99 Other (specify: _______________________________________)








❏ Yes ❏ No

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Company

Business address


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E-mail address

Home address


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1625 Prince Street


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703-519-6200

Fax: 703-519-6298

www.asisonline.org


MP071







< $25,000 $75,001–$100,000 $25,001–$50,000 $100,001–$125,000 $50,001–$75,000 $125,000+



Yes No


Yes No


Yes No




Signature

Date


New Member Dues




Total Payment








Cardholder name

Card number

Expiration date

Authorized amount




StudentSee page 2.

Fees

Class Total


Student $25

/0

Page 4 of 4

Questions?


FOR ASIS USE ONLY

MEMBERSHIP #

APPR. DATE

MEMBER TYPE

MAIL IND.

CHAPTER

6 8







< $25,000 $75,001–$100,000 $25,001–$50,000 $100,001–$125,000 $50,001–$75,000 $125,000+



Yes No


Yes No


Yes No




Signature

Date


New Member Dues




Total Payment








Cardholder name

Card number

Expiration date

Authorized amount




StudentSee page 2.

Fees

Class Total


Student $25

/0

Page 4 of 4

Questions?


FOR ASIS USE ONLY

MEMBERSHIP #

APPR. DATE

MEMBER TYPE

MAIL IND.

CHAPTER

6 8









USAPhone: 703-519-6200


06/08












Title

Company

Business address


Country


E-mail address

Home address


Country



Page 1 of 4

1625 Prince Street


USA

703-519-6200

Fax: 703-519-6298

www.asisonline.org


MP071







< $25,000 $75,001–$100,000 $25,001–$50,000 $100,001–$125,000 $50,001–$75,000 $125,000+



Yes No


Yes No


Yes No




Signature

Date


New Member Dues




Total Payment








Cardholder name

Card number

Expiration date

Authorized amount




StudentSee page 2.

Fees

Class Total


Student $25

/0

Page 4 of 4

Questions?


FOR ASIS USE ONLY

MEMBERSHIP #

APPR. DATE

MEMBER TYPE

MAIL IND.

CHAPTER

6 8







< $25,000 $75,001–$100,000 $25,001–$50,000 $100,001–$125,000 $50,001–$75,000 $125,000+



Yes No


Yes No


Yes No




Signature

Date


New Member Dues




Total Payment








Cardholder name

Card number

Expiration date

Authorized amount




StudentSee page 2.

Fees

Class Total


Student $25

/0

Page 4 of 4

Questions?


FOR ASIS USE ONLY

MEMBERSHIP #

APPR. DATE

MEMBER TYPE

MAIL IND.

CHAPTER

6 8



















Kansas City










United Kingdom

Victoria, Australia



Present employer

Job title



Page 2 of 4






❏ 102 Dams
































❏ a. 0 ❏ d. 11-15❏ b. 1-5 ❏ e. 16-20❏ c. 6-10 ❏ f. 20+


❏ a. < 20% ❏ d. 61-80%❏ b. 21-40% ❏ e. 81-100%❏ c. 41-60%




❏ a. < 100❏ b. 101-500❏ c. 501-1,000 ❏ d. 1,001-10,000❏ e. 10,001-25,000❏ f. 25,001-50,000❏ g. 50,001-100,000❏ h. 100,000+









❏ o. < $10,000 ❏ s. $200,001–$500,000 ❏ p. $10,001–$50,000 ❏ t. $500,001–$1,000,000 ❏ q. $50,001–$100,000 ❏ u. $1,000,001–$5,000,000 ❏ r. $100,001–$200,000 ❏ v. $5,000,000+






❏ 99 Other (specify: _______________________________________)








❏ Yes ❏ No

Page 3 of 4


















Kansas City










United Kingdom

Victoria, Australia



Present employer

Job title



Page 2 of 4






❏ 102 Dams
































❏ a. 0 ❏ d. 11-15❏ b. 1-5 ❏ e. 16-20❏ c. 6-10 ❏ f. 20+


❏ a. < 20% ❏ d. 61-80%❏ b. 21-40% ❏ e. 81-100%❏ c. 41-60%




❏ a. < 100❏ b. 101-500❏ c. 501-1,000 ❏ d. 1,001-10,000❏ e. 10,001-25,000❏ f. 25,001-50,000❏ g. 50,001-100,000❏ h. 100,000+









❏ o. < $10,000 ❏ s. $200,001–$500,000 ❏ p. $10,001–$50,000 ❏ t. $500,001–$1,000,000 ❏ q. $50,001–$100,000 ❏ u. $1,000,001–$5,000,000 ❏ r. $100,001–$200,000 ❏ v. $5,000,000+






❏ 99 Other (specify: _______________________________________)








❏ Yes ❏ No

Page 3 of 4








USAPhone: 703-519-6200


06/08












Title

Company

Business address


Country


E-mail address

Home address


Country



Page 1 of 4

1625 Prince Street


USA

703-519-6200

Fax: 703-519-6298

www.asisonline.org


MP071







< $25,000 $75,001–$100,000 $25,001–$50,000 $100,001–$125,000 $50,001–$75,000 $125,000+



Yes No


Yes No


Yes No




Signature

Date


New Member Dues




Total Payment








Cardholder name

Card number

Expiration date

Authorized amount




StudentSee page 2.

Fees

Class Total


Student $25

/0

Page 4 of 4

Questions?


FOR ASIS USE ONLY

MEMBERSHIP #

APPR. DATE

MEMBER TYPE

MAIL IND.

CHAPTER

6 8







< $25,000 $75,001–$100,000 $25,001–$50,000 $100,001–$125,000 $50,001–$75,000 $125,000+



Yes No


Yes No


Yes No




Signature

Date


New Member Dues




Total Payment








Cardholder name

Card number

Expiration date

Authorized amount




StudentSee page 2.

Fees

Class Total


Student $25

/0

Page 4 of 4

Questions?


FOR ASIS USE ONLY

MEMBERSHIP #

APPR. DATE

MEMBER TYPE

MAIL IND.

CHAPTER

6 8


Documents

Alexandria, VA 22314-2818 Demographic Information New ... brochure_application.pdfMAIL IND. CHAPTER 6 8 Demographic Information 15. Age 16. Gender O Male O Female 17. Race O American