Law Enforcement / Government Membership Application Form

First Name *

Last Name *

Email *

Organization Email *

Address *

City *

State *

Country *

Postal code *

Mobile Phone

Job Title *

Organization *

If other, please describe.

How much of the work you are tasked with in your position is OSINT-related? *

How much decision making/influence do you have in terms of your organization's OSINT related budgeting and/or purchases? *

What other associations do you belong to? *

What other conferences do you attend throughout the year? *

What magazines, blogs, and/or social media feeds do you read most? *

What do you hope to gain from the association? (Select All that Apply) *

If other, please describe.

How did you hear about us? (Select Any that Apply) *

OSMOSIS Conference

Social Media

Press Release / Online Announcement

Referral

If referral, please include name of referrer below.

Social Media Accounts

Twitter

Facebook

Instagram

By signing (typing your legal name) in the space below, you agree to the collection, use and processing of the personal information you provide to OSMOSIS in this form for the purposes of organization administration and inclusion of your contact information in a members’ directory that will be distributed to members and staff of OSMOSIS and key project partners.

By signing, you are also certifying that all information is correct, that you are the person completing this application, and you meet all membership requirements, agree to the ethics of the association, and are over the age of 18 years old (https://osmosisinstitute.org/ethics/). You also agree that your information may be accessed and used by OSMOSIS and its staff. You agree to notify OSMOSIS Staff of any change to your personal information and make requests to check, delete or correct your personal information, so that it is accurate and current. You understand that much of the data requested in this application is necessary for administrative and planning purposes and that the failure to provide this information may prevent your application from being properly processed or the inclusion of your contact information in the members directory.

Your Signature *

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