Petition by stariya

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									              ACJS PETITION FOR OFFICE
Name of Candidate: _______________________________________________________________

Address of Candidate: ____________________________________________________________

________________________________________________________________________________

Office Phone Number: _____________________________________________________________

Home Phone Number: _____________________________________________________________

E-Mail Address: __________________________________________________________________

Office Being Sought: ______________________________________________________________

         I, the undersigned, support the above-named candidate for the position sought.
      I am a regular member in good standing of the Academy of Criminal Justice Sciences.


     PRINTED NAME         SIGNED NAME            INSTITUTIONAL AFFILIATION OR        SIGNATURE
                                                        HOME ADDRESS                    DATE

								
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