Become A Member Application

Become a Member of CPOF today!

You can easily become a member of The Correctional Peace Officers Foundation by utilizing our Bankdraft or Lump Sum application below. Signing up online is the fastest and easiest way to become a member.

Bankdraft/Lump Sum Application

You may donate through our bankdraft option by providing your bank account information and your donation will be deducted from your provided account on the 5th of every month (UNTIL YOU CANCEL). Or you may donate through our “lump sum” option by paying one lump sum per year, you will be sent a renewal via email or mail (your choice).

Step 1 of 2

Donation Type

Lump Sum Type

Renewing Member

New Member

Name(Required)

First Last

Last 4 SSN

Date of Birth(Required)

Date of Hire(Required)

Address(Required)

Street Address City State ZIP Code

Institution (Place of Employment)(Required)

Please put name of your institution/facility. NOT just Department of Corrections.

Institution State(Required)

Job Title(Required)

Employee ID#

Cell Phone(Required)

Email(Required)

Spouse (Person of Choice)

Referred By

Monthly Donation

Name on Account(Required)

First Last

Type of Account(Required)

Routing Number(Required)

Account Number(Required)

How would you like your renewal sent(Required)

Donation Amount(Required)

Please select the amount you would like to donate monthly.

Total

Payment Method

Jacket(Required)

Do you want a CPO Foundation Jacket for a Donation of $25.00 a Month?

Jacket Size Desired(Required)

Jacket Style(Required)

Signature

Signature(Required)

Date(Required)

Payroll Deduction

Payroll deduction is offered in many states and counties. The requirements vary from state to state and county to county. Some require paper applications with physical signatures, while some allow you to complete your membership online. Regardless of whether or not your state or county offer payroll deduction, you are eligible to become a member utilizing the bankdraft/lump sum application above. All payroll deduction applications require additional processing time and will not take immediate effect. If you would prefer to not delay your application process, please utilize the above application for bankdraft/lump sum.

If you would like more information to see if you’re eligible for payroll deduction, please continue below. If your state or county is not listed, payroll deduction is not available. Please use our Bankdraft/Lump sum application above to join CPOF.