ACTIVE [ ] ASSOCIATE [ ]
Surname
Address
Telephone
Given Name(s)
City
Original Reg # Rank on Discharge D.O.B.
Province Postal Code
Cell #
Engaged Discharged
Awards and Honours
Current Employer (if applicable) Address
Next of Kin Address
E-mail Address - [providing an e-mail address indicates consent to receive information and documents by electronic
means]
Division(s) Served In
Occupation
Relationship
Telephone
Telephone
I declare that I meet the criteria for the membership, including not having been discharged for unsatisfactory conduct.
Applicant’s Signature X
Date
See Membership Criteria on reverse side of this application for membership eligibility and please answer the two Questions at the end of this application.
Return your completed Application Form to your Veteran Division as shown on the Association website at www.rcmpvetsnational.ca then select Membership / Recruiting and Veteran Division Addresses and
Dues for more information. The application must be approved by the Division Executive to which you are applying for membership.
Attach a Cheque or Money Order to your completed Application Form, made payable to the RCMP
VETERANS' ASSOCIATION.
Verified Approved Denied Dues $ Paid on
Membership Director's Signature Date
Rev: 07 Mar 2015

ACTIVE MEMBERS are voting members who pay annual Association dues and Division fees.
Active membership shall be available only to a person of good character who has had his/her application reviewed and approved by a Division credentials committee. Anyone who ceased to be employed, or has been dismissed or discharged from the RCMP because of discreditable conduct is prohibited from membership in the RCMP Veterans' Association.
The following categories of employees are eligible for ACTIVE membership:
 a former member of the RCMP (RM) (CM);
 a former member of the RCMP Reserve;
 a former member of the RCMP Auxiliary, with minimum of 3 years service, and
 a former member of the Federal Public Service (PSE) or Municipal Employee (ME) who has worked in the employment of the RCMP for a minimum of 5 years service.
ASSOCIATE MEMBERS are non-voting members of the Association who pay annual Division fees.
Associate membership shall be available to a person of good character who has had his/her application reviewed and approved by a Division credentials committee.
The following categories of employees are eligible for ASSOCIATE membership:
 a serving Regular, Civilian, Reserve or Auxiliary member, Public Service Employee (PSE), or
Municipal Employee (ME), with a minimum of 10 years service with the RCMP;
 a former Temporary Civilian Employee (TCE), with a minimum of 5 years service with the
RCMP;
 the spouse/partner of an Active Member;
 the spouse/partner of a Life Member appointed prior to the adoption of the By-Laws approved in
June 2014;
 the widow/widower of a deceased serving or former member of the RCMP, or of a deceased member of the RCMP Veterans' Association, and
 a person not otherwise defined above who is of good character, has demonstrated an affinity to the
Association, has been recommended by an Active or Life Member, and has been accepted for
Associate membership by ordinary resolution at a Division Meeting
QUESTION 1: What influenced you to join your Veterans' Association?
Please CIRCLE the applicable reason(s)
1. Always intended to join on discharge 9. Saw the Recruitment Banner
2. Attended a Social / Recreational event website 10. Visit to Division or National
3. Saw Ad in the Quarterly 11. Attended a Roadshow meeting
4. Reading VetsNet / Frank's F & F
5. Read CO's annual Communiqué
6. Attended an Advocacy Workshop
7. Conversation at a Funeral
8. Invited by an Association member
12. Was contacted & rejoined
13. Saw in my Online Exit Questionnaire
14. Chat at a Coffee gathering
15. Saw the Vets Link on InfoWeb
16. Other (please explain)
QUESTION 2: Please indicate if you are willing to serve in some capacity within the Division on either the
Division Executive or on a Committee.
Yes ( ) Not Now ( ) Comments:
Rev: 07 Mar 2015