Surname / Given Name(s) / Original Reg# / Rank on Discharge / D.O.B
Address / City / Province / Postal Code
Telephone / Cell # / E-mail Address - [providing an e-mail address indicates consent to receive information & documents by electronic means]
Engaged / Discharged / Division(s) Served In
Awards & Honours Received
Current Employer (if applicable) / Address / Occupation / Telephone
Next of Kin / Address / Relationship / Telephone
I declare that I meet the criteria for the membership, including not having been discharged for unsatisfactory conduct.
Applicant’s Signature X Date

See reverse of this Application forMembership Criteriaand the amount forNational Dues & Division Fees.

Return this completed Application to your Veteran Division as shown on the National website Home Page go to Divisionsand click on your Divisionfor additional information.

Attach a Cheque or Money Order for Dues & Fees made payable to the RCMP VETERANS' ASSOCIATION.

Please answer the Application Question on the reverse of this form.

Verified Approved Denied Dues $ Paid on

VETERAN DIVISION ADDRESS

RCMP Veterans' Association

Nova Scotia Division

Mailstop # H-025

80 Garland Ave., Dartmouth, NS B3B 0J8

902-457-4123

MEMBERSHIP CRITERIA

ACTIVE: Voting Membership -Dues $50.00 [Annual National Dues + Division Fees]

[go to ]

Active membership shall be available only to a person of good character who has had his/her application reviewed and approved by a Division credentials committee. Anyone who ceased to be employed, or has been dismissed or discharged from the RCMP because of discreditable conduct is prohibited from membership in the RCMP Veterans' Association.

a former member of the RCMP (RM) (CM)

a former member of the RCMP Reserve

a former member of the RCMP Auxiliary, with minimum of 3 years service

a former member of the Federal Public Service (PSE) or Municipal Employee (ME) who has worked in the employment of the RCMP, with a minimum of 5 years service

ASSOCIATE: Non-voting Membership- Dues $15 [Annual Division Fees]

Associate membership shall be available to a person of good character who has had his/her application reviewed and approved by a Division credentials committee and who is:

a serving Regular, Civilian, Reserve or Auxiliary member, Public Service Employee (PSE), or Municipal Employee (ME), with a minimum of 10 years service with the RCMP

a former Temporary Civilian Employee (TCE), with a minimum of 5 years service with the RCMP

the spouse/partner of an Active Member

the spouse/partner of a Life Member appointed prior to the adoption of By-Laws approved at the 2014 AGM

the widow/widower of a deceased serving or former member of the RCMP, or of a deceased member of the RCMP Veterans' Association

a person not otherwise defined above who is of good character, has demonstrated an affinity to the Association, has been recommended by an Active or Life Member, and has been accepted for Associate membership by ordinary resolution at a Division Meeting

QUESTION 1: "What influenced you to join your Veterans' Association"

... Please circle the applicable reason ...

QUESTION 2: "Please indicate if you are willing to serve in some capacity within the Division on

either the Division Executive or on a Committee."

Yes ( ) Not Now ( ) Comments:

Rev: 11Jan 2017