Nebraska Chapter of the International Association for Identification
CONFERENCE REGISTRATION & MEMBERSHIP APPLICATION
New member Renewal Membership Only Conference Attendance & Membership
ACTIVE MEMBERSHIP (Active members are practitioners, sworn or non-sworn, that are actively involved in any area of forensic investigation, forensic identification and scientific examination of physical evidence).
ASSOCIATE MEMBERSHIP (Associate members are those practitionerspartially engaged in any of the various phases of forensic investigation, forensic identification and scientific examination of physical evidence.) Criminal Justice/Forensic Science instructors; any non-forensic law-enforcement officer, or, supplier of forensic equipment or material would qualify as Associate Members).
LIFETIME MEMBERSHIP(Lifetime Members are past presidents of the NEIAI, or any other individuals to whom the Lifetime Membership status has been granted by the NEIAI members by nomination; Annual fee waved).
STUDENT MEMBERSHIP (Name of the institution and Major):
Applicant's name:
Title or occupation:
Employer:
Employers address (city/state/zip):
E-mail address:
Work Phone:
Home address (city/state/zip):
Home or alternative phone:
Member of the parent body of the IAI? Yes, IAI member# No
I hereby make application for membership to the Nebraska Chapter of the International Association for Identification, in accordance with its constitution and by-laws, and agree to be bound therewith.
Name (please print):
Signature:
Date:
WORKSHOP REGISTRATION
Lifting Prints Off of Difficult and Unusual Surfaces – Jason Cole, Foster + Freeman (April 4th)
Arriving at and Articulating Conclusions – Michele Triplett, King Co, Washington Regional AFIS (April 5th)
Please indicate which workshop you want to attend (if any). Preference is given to active members and will be a first-come, first-served basis. Workshops are limited to 25 attendees.
EVENT REGISTRATION:
PRESIDENT’S RECEPTION: The receptionwill be held on April 4, 2017 starting at 1700 hours at Round the Bend Steakhouse.
Please let us know if you are planning on attending, so that we can get a head count for food and refreshments.
I WILL - WILL NOT be attending the President’s Reception
If attending, please list the number of additional guests that will accompany you to the President’s Reception:
PHOTO CONTEST
You may submit up to 5 photographs per each category. The categories are as follow: 1. Forensics / Crime Scene / Law Enforcement; 2. Nature / Scenery; 3. People; 4. Animals.
I would like to enter the“Photo Contest” and will be mailing in the registration form and the photo(s).
POSTER PRESENTATION
This is an opportunity for anyone involved in forensic research to present their research to the NEIAI members during the President’s Reception on April 4, 2017.
I would like to enter the“Poster Presentation”.
Title of the Poster Presentation:
All Photo Contest entries and Poster Presentations registrations must be received by the NEIAI by March 29, 2017 at 3977 Air park Road Lincoln, NE 68524.A signed Photo Contest Entry Form must accompany the submitted photographs. Complete Rules and Photo Contest Entry Form are posted on For any questions, please contact Sarah Zarnick at or 402/471-8962.
CONFERENCE REGISTRATION FEE: $35.00
$35.00 annual membership fee applies toward 1-year membership and the annual conference attendance.
Make checks payable to: Nebraska IAI.
Please select the form of payment:
Personal Check: Check #
Agency Check:Check#
PayPal transaction #
NAME (please print): DATE:
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The Conference Registration Form MUST be submitted to the secretary/treasurer either by mail or Email.
Mail-in the completed application and a fee to:
Nebraska IAI
Attn: Secretary / Treasurer
P.O. Box 22060
Lincoln, NE 68542
Or, Email your completed application to:
Nebraska IAI • P.O. Box 22060 • Lincoln, NE 68542 • Tel: 402/471-8918 • Fax: 402/471-8921Page 1