Membership Application

Name:___________________________________________________________________Date:__________________

Judicial District or Organization:_____________________________________________________________________

Work Address:___________________________________________________________________________________

City:______________________ State:________Zip:______________Work Phone: ( )___________________________

Position:______________________________e-Mail Address (optional): _____________________________________

Please Check one of the Following categories:

_________ Full Membership: Annual Dues: $ 25.00

Includes: Probation Officer, Secretary, Supervisor, Alcohol Evaluator, Collections Investigator,CPO, OPS/SCAO Staff member, or any Municipal, State, or Federal Judicial employee or any Volunteer/Student Intern working for a Colorado Probation Department.

__________ Affiliate Membership: Annual Dues: $ 25.00

Includes: Any member of an agency that supports or enhances the efforts of the Judicial System. Includes private sector probation and/or monitoring agency personnel, and treatment agency personnel. All other interested parties are included in this category.

Please print this application and mail it with your check payable to "CAPO"

COLORADO ASSOCIATION OF PROBATION OFFICES

PO Box 48203, Denver, CO. 80204-8203

Questions? Call or e-mail the Membership Coordinator

Jennifer Howard (303) 451-5555 ext. 121

jennifer.howard@judicial.state.co.us