350 $450 $550 $400 $500 $600 $425 $525 $625 $450

International Association of Campus Law Enforcement Administrators
342 North Main Street, Suite 301, West Hartford, CT 06117-2507
PHONE: (860) 586-7517 * FAX: (860) 586-7550 * Email Address: [email protected] * Website: www.iaclea.org
US Institutional Membership Application
Membership Period: September 1 – August 31
US Institutional Membership - provides full membership privileges for the Institutional
Representative (i.e., the individual who coordinates the campus public safety program for the
institution) plus additional Professional Members (i.e., an employee of a member institution
holding an executive, managerial, or supervisory position) depending on the member package
purchased.
Institution Name:

Sworn:
 Non-Sworn:

Four year:

Two year:
Public: 

Private: 
Armed: 

Unarmed: 

 K-12: 
  Institutional Representative Name:
Title:
E-mail
Address:
City:
Country:
Phone:
State/Province:
Postal Code:
Dues Schedule
4 Year Institutions (US only) To purchase the membership package for your institution,
select the appropriate category below.
Full time
enrollment
>1,999 (4A)
2K-4,999 (4B)
5K-9,999 (4C)
10K-19,999 (4D)
20K+ (4E)
Tier 1 Member
Package
IR + 6 Prof members
$350
$400
$425
$450
$525
Tier 2 Member
Package
IR + 12 Prof members
$450
$500
$525
$550
$625
Tier 3 Member
Package
IR + 18 Prof members
$550
$600
$625
$650
$725
2 Year Institutions/K-12 schools (US only)
Full time
enrollment
>1,999 (2A)
2K-4,999 (2B)
5K-9,999 (2C)
10K-19,999 (2D)
20K+ (2E)
Tier 1 Member
Package
Tier 2 Member
Package
Tier 3 Member
Package
IR + 6 Prof members
IR + 12 Prof members
IR + 18 Prof members
$225
$250
$300
$325
$350
$325
$350
$400
$425
$450
$425
$450
$500
$525
$550
Next add the names of the Professional Members (i.e., employee of a member institution holding an
executive, managerial, or supervisory position) who will be included with the Institutional Membership
package purchased. All Professional members will be notified once their membership is activated.
Tier 1 Member Package Professional Member Name 1 2 3 4 5 6 Title
Email
Tier 2 Member Package 7 8 9 10 11 12 Tier 3 Member Package 13 14 15 16 17 18 Phone Payment Information
Amount Enclosed: $ 0
Credit Card:
MasterCard
VISA
AMEX
Card Number:
Name on Card:
CVM:
Exp. Date:
/
Signature:
Confirmation/Receipt Email Address:
Fax to: +1-860-586-7550
Check - Make check payable to: IACLEA
Mail to:
IACLEA
342 North Main Street, Suite 301
West Hartford, CT 06117-2507, USA
New members: membership applications are processed weekly. Once processed, a new member packet
will be mailed.
Please feel free to email us at [email protected] with any questions.