Membership Application Form There was an error trying to submit your form. Please try again. PAAI MEMBERSHIP APPLICATION IAAI# * This field is required. Enter Your Full Name * This field is required. Address Your current residential address. Address Line 1 * This field is required. Address Line 2 This field is required. City * This field is required. State * This field is required. Postal Code * This field is required. Date of Birth * This field is required. Phone Number * This field is required. Email * This field is required. Employer * This field is required. Business Address Address Line 1 * This field is required. Address Line 2 This field is required. City * This field is required. State * This field is required. Postal Code * This field is required. Work Phone Number * A contact number where we can reach you. This field is required. Work Email Address * We will use this email to contact you. This field is required. Position * This field is required. Years Employed * This field is required. Supervisor & Contact * This field is required. Experience/Degree/Honors * This field is required. Have you ever been convicted of a crime? * Select an option Yes No This field is required. Membership denied/revoked by IAAI? * Select an option Yes No This field is required. Ever part of a subversive group * Select an option Yes No This field is required. If “yes” to any, explain: This field is required. List Three References; Name, Phone, Occupation * This field is required. PAAI Member Recommendation (Member in Good Standing) Name & Member # * This field is required. I certify that the information provided is true and accurate. I agree to abide by the PAAI Constitution and By-Laws and pay a fee of $35 ($30 dues + $5 initiation fee). * This field is required. By typing my name below, I certify that all information provided in this application is true and complete to the best of my knowledge. I understand that any false or misleading information may result in the denial or revocation of my membership. I agree to abide by the PAAI Constitution and By-Laws. * This field is required. GDPR Compliance * Please agree to our data protection policy. This field is required. Submit There was an error trying to submit your form. Please try again.
