Ambassador Program Application

An Ambassador Story

Interested in becoming an Ambassador?

Ambassadors are important members of the National Law Enforcement Officers Memorial Fund family. Ambassadors are active and retired law enforcement officers from city, state, federal, campus, tribal, territorial and military law enforcement agencies.

Application Process

Officers interested in becoming an NLEOMF Ambassador must complete and submit an on-line application. A background check and all information will be verified by our selections committee. Approved Ambassadors will be contacted by the Ambassador Project Manager or Committee member within six weeks of submission.

If you wish to apply to become an Ambassador, please complete the application below.

Ambassador Program Application

"*" indicates required fields

Name of the applicant

Applicant Name*
Applicant's Address*
Military Service*
Law Enforcement service status

Law Enforcement agency(s) and dates

Supervisor's Name*
Current Employer Address

Previous Agencies | list agencies in chronological order starting from most recent to oldest

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Type of Law Enforcement agency affiliation
Previous Experience as an NLEOMF Ambassador
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Drop files here or
Accepted file types: jpg, gif, png, pdf, Max. file size: 50 MB, Max. files: 5.
    Upload 1-3 References. At least one must be a letter of reference from a law enforcement professional.
    By checking the box below, I attest that the information contained on this application is accurate to the best of my knowledge. Additionally, all information gained while acting in my capacity as a NLEOMF Ambassador must remain confidential and will only be shared with NLEOMF staff when appropriate.*

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