FOP Evergreen Lodge



Evergreen Lodge 1P.O. Box 3189Silverdale, WA 98383-3189APLICATION FOR MEMBERSHIPLAST NAME, FIRST, MIACTIVE RETIRED* ASSOCIATEAGENCY/DEPARTMENT (CURRENT OR *RETIRED FROM & DATE)BADGE or ID NUMBERRANK/POSITIONYOUR MAILING ADDRESSCITYSTATE/ZIPEMAILDAYTIME OR CELLPHONE( )SPONSORING MEMBER’S NAME ACTIVE/RETIRED MEMBERSHIP DEFINED: Any regularly appointed or elected and full-time employed law enforcement officer of the United States, any state or political subdivision thereof, or any agency may be eligible for membership in the Fraternal Order of Police, subject to the provisions of the Constitution. ASSOCIATE MEMBERSHIP DENFINED: Associate membership shall be comprised of citizens of good moral character, other than Law Enforcement Officers, who support and further the ideals and goals of the Fraternal Order of Police and who apply for such membership Are you interested in conducting training in an area you specialize? (Please list)Are you interested in obtaining or renewing your LEOSA Firearms Concealed Carry certification?Are you interested in obtaining legal Defense Plan or LEOSA Insurance?Do you have college bound children or a spouse? (Scholarship eligible)ACTIVE and RETIRED OATH to the Members of the Fraternal Order of PoliceI, the undersigned, in the presence of the Creator of the Universe and the members of the Fraternal Order of Police here assembled, do most solemnly and sincerely promise and swear, that I will to the best of my ability comply with all the laws and rules of this Order; that I will recognize the authority of my legally elected officers and obey all orders therefrom not in conflict with my religious or political views, or my rights as an American Citizen; that I will not cheat, wrong, or defraud this Order, or any member thereof, or permit the same to be done if in my power to prevent it; that I will at all times aid and assist a worthy Brother (or Sister) in sickness or distress, so far as it lies in my power to do so; that I will not divulge any of the secrets of this Order to any one not entitled to receive them. To all of which I most solemnly and sincerely promise and swear. Should I violate this, my solemn oath or obligation. I hereby consent to be expelled from this Order. __________________________________________ _______________Applicant Signature DateASSOCIATE MEMBERSHIP ONLYI, the undersigned, do hereby make application for associate membership in Evergreen Lodge 1 of Silverdale, WA. If my membership should be revoked or discontinued for any cause while in good standing, I do hereby agree to return to the lodge my membership card and any other lodge materials bearing the FOP insignia. __________________________________________ _______________ Applicant Signature DateCurrent Membership Per Capita & Other FeesActive -Fulltime Law Enforcement Officers $93Legal Defense Plan $135Retired Law Enforcement Officers $63LEOSA Insurance $50Associate Members $63Federal Employees may elect automatic payroll deductionSubmit this application with: a check for the first years dues made payable to” FOP Lodge 1” Do NOT submit payment for LEOSA insurance or LDP with this application. Contact the Lodge secretary for information. When submitting this application by mail, provide a photo copy of your commission card, retired ID or other proof of Law Enforcement affiliation. This will be destroyed upon verification. FOP USE ONLYDate Application Received_______________Sponsored by:_______________________________Dues Received: Check or CashApproved:________________________________WHAT IS THE F.O.P.? The Fraternal Order of Police (FOP) was founded in 1915 in the city of Pittsburgh Pennsylvania. The FOP represents more than 314,00 members in over 2,100 lodges throughout the United States. The members are full-time law enforcement officers from local, state, and federal agencies. Throughout the years, the FOP has built a proud tradition of leadership in national law enforcement affairs. Evergreen Lodge 1 was the first lodge established on November 16, 1981, in the state of Washington. The tradition of Evergreen Lodge 1 continues today, in its dedication to serving the public and the law enforcement community. MEMBERSHIP? Active Membership is only open to full-time municipal law enforcement officers, regardless of rank. All county, state, federal and military government officers are eligible for membership. Associate Membership is open to anyone interested in supporting the lodge and members of the law enforcement community. LOCAL LODGES? Your local lodge is a fraternal organization made up of law enforcement officers from the local community. The local lodge is an independent body in the conduct of its own affairs. The local lodge officers are elected from the membership of that lodge. Each local lodge has its own set of Constitution and By-Laws approved by the National Constitution and By- Laws Committee. Each lodge is a member of the State Lodge and is represented at the State Board meetings and conferences by State Trustees and Delegates elected by the local lodge. PUBLICATION? The national FOP Journal is a professional law enforcement publication provided to each member. The journal supplies a wide range of articles, reports, legislation, and news to its members. LEGAL DEFENSE PLAN? Your local lodge offers a National Legal Defense Plan through the Grand Lodge provides coverage for Administrative, Criminal or Civil Actions against you while performing your lawful duties. Participation in either program is voluntary. The Grand Lodge Plan is $240 a year LIFE INSURANCE? The State Lodge provides free to its members Accidental Death and Line of Duty benefits. 25,000 dollars Accidental is paid when a member dies from accidental bodily injury. 25,000 dollars Line of Duty is paid to the Accidental Death Benefit when a member is killed in the line of duty. 50,000 dollars total benefit if killed in the line of duty. VISION PLAN? Benefits are available through SPECS Vision Plan, providing savings for members and their entire family on eye care purchases honored at thousands of locations nationwide, participating optical outlets including Sears, Penney's, Target, and participating Perle Vision Centers. MEMBERSHIP DUES? Upon completion and approval of the application for membership, the fee for new applicants to cover processing and per capita tax is $93.00. Dues may be paid through payroll deduction. If collected through payroll deduction the total of dues X two will be deducted for the first 12 months then lowered back to annual dues amount. If selected Legal Defense will be totaled to one deduction X 2 for the first 12 months then lowered back to annual dues/legal defense amount. After the fees are collected and during the first regular meeting, the new applicant will be sworn in as a member. APPLICATION? Upon completion of this application and if you are not paying through payroll deduction, please return it with your $93.00 dues to the address on the application. WEB SITES? Our local lodge has a Web Site located at , the Washington State Lodge Web Site can be found at , and the National Grand Lodge Web Site is . ................
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