ATOA - Individual Membership Application

APPLICATIONS | ATOA Individual Memberships

• The Final Option quarterly journal
• Discounts on our credible, cost-effective training. ATOA members receive a discount on ATOA training courses and annual conferences. (Your $20 ATOA membership costs are fully recouped when you attend one ATOA training class!)

A copy of your departmental ID must accompany all applications. All non-law enforcement personnel must be currently attached to a tactical or law enforcement unit. They should include a written recommendation/verification from their attached law enforcement agency or commanding officer.

MEMBER INFORMATION

I am a(n):

Send mail to:

First Name:

MI:

Last Name:

Rank:

Assignment:

Home Address:

City:

State:

Zip:

Home Phone:

Home Fax:

Home Email:

List any areas of expertise:

List any areas that you are qualified to instruct:
(please state whether or not you hold an instructor’s certificate in that area)

Do you hold an Arkansas Law Enforcement Instructor’s Certificate?

Would you be willing to instruct for the A.T.O.A.?

AGENCY INFORMATION

Agency Name:

Agency Address:

City:

State:

Zip:

Agency Phone:

Agency Fax:

Agency E-mail:

Population Served:

Number of Sworn Officers in Agency:

TEAM INFORMATION

Team status:

No. of training hours:		No. of Tactical Members:
No. of Negotiators:		No. of TEMS:
No. Sworn TEMS:

Multi-Jurisdictional: Multi-Jurisdictional Name:

Multi Geographic Area Served:

Signature of Applicant:

METHOD OF PAYMENT

Payment Type: Check # (if applicable):

Make payable to ATOA.
Mail application to:
ATOA, #16 Burnttree Ct.
Little Rock, AR 72212
501-343-3608 Fax: 501-918-5110