Membership application

Provide your background information and three references for Council review. Membership selection is at the Sheriff’s discretion.

All fields are required unless marked optional.

Your details

Full nameEmail addressPhone numberMailing addressCity

StateZIP code

Occupation & experience

If you are retired, please list your former occupation.

Occupation / professionEmployer / organizationOptionalJob titleOptionalRelevant skills, volunteer work, or community involvement

Your interest in the CouncilWhy would you like to join?

Three references

List three people who can speak to your character, work, or community involvement.

Reference 1

Full nameRelationship / years knownPhone numberEmail address

Reference 2

Full nameRelationship / years knownPhone numberEmail address

Reference 3

Full nameRelationship / years knownPhone numberEmail address

Applicant acknowledgment

I certify that the information provided is accurate to the best of my knowledge. I authorize the Council to contact the references listed regarding this application. I understand that submitting an application does not guarantee membership.

Type your full name as your signature

By typing your name and submitting, you sign this application electronically. The submission date will be recorded with your application.

Your application information

Your application, including your references’ contact details, is stored for membership review and sent to the Council’s review mailbox. A confirmation email is sent to the email address you provide.

For questions about your information, contact info@osceolasheriffadvisory.org.

Membership is subject to the Sheriff’s discretion.