Agency Application

Applications to add an agency should be made by a contact person with that agency who would also be willing to moderate. The selection process is up to us, you will not necessarily moderate the agency you submit and your identity will be kept confidential. Message Board Moderator identities are kept confidential to everyone outside of LEOAFFAIRS.COM™ Staff. Your submittal of this form to LEOAFFAIRS.COM™ acknowledges your acceptance of our Terms of Use and your agreement to keep all user information (including IP address) confidential to anyone outside LEOAFFAIRS.COM™ Staff personnel should you be chosen as a Moderator.	Add An Agency & Moderator Application:
	First Name:	*
	Last Name:	*
	Agency:	*
	Position:	*
	Email:	*
	Cell Phone:	*
	Home Phone:	*
	Work Phone:	*
	comments:	*

		* Required Fields