FPEA Member Registration

Fields marked with an asterisk (*) must be completed

Thank you for visiting our website and welcome to the Registration Form page where you can submit an application to become a member of the Future Police and Educators Association of Grand Valley State University.
PLEASE NOTE: There is a $5 membership due and attendance to at least 2/3 of the yearly meetings is required to remain a member.

Please view the FPEA Constitution before registering.

Contact Information

First Name:*

Last Name:*

Title:

Company:

Department:

Address:*

City:*

State/Prov.:*

Zip/Postal Code:*

Daytime Phone Number:*
Ext

Alternate Phone Number:

Email:*

Hometown (city, state):

Date of Birth - Month:

Date of Birth - Day:

Date of Birth - Year:

Academic Class:*

Major(s):*

Minor:

Organization(s) you are a part of:

Career plans:

Please allow one (1) to two (2) days for your application to be processed. If you do not want your information to be posted on our Membership Biography page, please make sure the box below is checked. Your address and phone number WILL NOT be posted even if you choose to post your information.

Do not post my information

Post my information, but not my e-mail address

Add my name to the update list so I will receive an e-mail whenever there are new additions to this website

If you do not wish to submit your information online, please click on the link below and fill out the hardcopy registration form and return it to 008 Kirkhof, Box #60 (Student Life Office).

Printer-Friendly Registration Page