ACTIVE MEMBER APPLICATION
Active Black Shield members are retired or former public safety officers and first responders. Membership dues are $180/year or $15/month via payroll deduction, if you are a City of Cleveland employee. Dues are collected at the time of acceptance.
The Black Shield reviews applications on the 15th of every month.
You will receive notification via email.
* Required
Email address
*
First and Last Name
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Street Address, City and State
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Email
*
Phone number
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How would YOU like to get involved with The Black Shield?
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Community Activism
Youth and Schools
Elder Care
Business / Resident Relations
Inter-Faith Support
Diversity on the Force
Name of Current Public Safety Agency
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Please include city.
Are you a current employee of a City of Cleveland Public Safety Agency?
*
Yes
No
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