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Personal Info

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Legal Middle Name

Legal Last Name (Family Name) *

Primary Email Address *

Work Email Address *

Other Email Address

Primary Phone *

Work Phone *

Other Phone

Country *

Address 1 *

Address 2

City *

State/Province *

Postal Code *

Shipping Address

Shipping address is required to send documents, certificates, etc.

Country *

Address 1 *

Address 2

City *

State/Province *

Postal Code *

Organization

Title *

Department

Name (Employer or School) *

Country *

Address 1 *

Address 2

City *

State/Province *

Postal Code *

Employment *

Government:

Current Employee (Federal, State, or Local)

Former Employee (Federal, State, or Local)

Contractor (Full Time for Government)

Civilian:

Non-Government Employee

Student:

Full-Time DFIR Student (Bachelor or Masters)

I have reviewed and promise to abide by the IACIS Code of Ethics and Professional Conduct and I understand that membership is contingent upon review of the information I have provided.

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