Secure FBI Directory - Individual Enrollment Form
The following information will appear in the Secure FBI Directory
Name *
First Name
Last Name
Profession
Company Name(if applicable)
Middle name
Suffix
Address *
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Additional Office and Address:(if applicable)
CURRENTLY WORKS IN: *What State(s), County(s) and Regions(s) do you work in?
FORMERLY WORKED IN THIS/THESE FIELD OFFICES:
Check each office you worked in.
Albany
Albuquerque
Anchorage
Atlanta
Baltimore
Birmingham
Boston
Buffalo
Charlotte
Chicago
Cincinnati
Cleveland
Columbia
Dallas
Denver
Detroit
El Paso
Honolulu
Houston
Indianapolis
Jackson
Jacksonville
Kansas City
Knoxville
Las Vegas
Little Rock
Los Angeles
Louisville
Memphis
Miami
Milwaukee
Minneapolis
Mobile
New Haven
New Orleans
New York
Newark
Norfolk
Oklahoma City
Omaha
Philadelphia
Phoenix
Pittsburgh
Portland
Richmond
Sacramento
Salt Lake City
San Antonio
San Diego
San Francisco
San Juan
Seattle
Springfield
St. Louis
Tampa
Washington Field Office
Headquarters
Other, if not listed. Please write-in below
US FIELD AGENCY, OTHER:Please specify if applicable.
RESIDENT AGENCYPlease specify if applicable.
HEADQUARTERS:Please specify if applicable.
International, Please specify if applicable.
Additional information. Please fill in if applicable.
BUSINESS PHONE:
Please fill in if applicable.
(###)
###
####
MOBILE PHONE:
Please fill in if applicable.
(###)
###
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RESIDENTIAL PHONE:
(###)
###
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FAX NUMBER:
(###)
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ADDITIONAL PHONE(s)
Please fill in if applicable.
(###)
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EMAIL: *This may vary from the email address you provided where you will receive receipts and notifications.
WEBSITE:Please fill in if applicable.http://
INTERNATIONAL INFORMATION Please fill in if applicable.
SPECIALTIES:
Select all that apply
AC – ACCOUNTING
AF – ART FRAUD
AR – ARSON
AV – AVIATION SECURITY
BF – BANK FRAUD
BI – BACKGROUND INQUIRIES
CA – CONTENT ANAYLSIS
CAC – CRIMES AGAINST CHILDREN
CAS – COMPUTER ANALYSIS/SECURITY
CF – COMPUTER FORENSICS
CFG – CATFISHING
CIR – CRITICAL INCIDENT RESPONSE
CSE - CRIME SCENE EXAMINER
CM – CRISIS MANAGEMENT
CMS – COMMUNICATIONS SECURITY
CN – CRISIS NEGOTIATION
CT – COUNTERTERRORISM
CYM – CYBER MATTERS
DE – DOCUMENT EXAMINER
DD – DETECTION DOGS
DT – DOMESTIC TERRORISM
DR – DRUG INVESTIGATIONS
EC – ELECTRONIC COUNTERMEASURES
EE – EXPLOSIVES EXPERT
EM – ENVIRONMENTAL MATTERS
ERS – EVIDENCE RECOVERY SPECIALIST
EW – EXPERT WITNESS – COURT QUALIFIED (SPECIFY: BELOW)
FE – FINGERPRINT EXPERT
FI – FINANCIAL INVESTIGATIONS
FR – FRAUD
FSC – FORENSIC SCIENCE CONSULTANT
FTBE – FIREARMS/TOOLMARK/ BALLISTICS EXAMINATION
FW – FOOTWEAR EVIDENCE
GIM – GENERAL INVESTIGATIVE MATTERS
HA – HANDWRITING ANALYSIS
HCF – HEALTH CARE FRAUD
HN – HOSTAGE NEGOTIATION
HRC – HOTELS/RESORTS/CASINOS
HVS – HEAVY VEHICLE SPECIALIST
IF – INSURANCE FRAUD
INTEL – INTELLIGENCE
INT – INTERNATIONAL
II – INTERNET INVESTIGATIONS
IT – INTERNATIONAL TERRORISM
IS – INFORMATION SECURITY
LET – LAW ENFORCEMENT TRAINING
LG – LEGAL
LNG – LANGUAGES (SPECIFY: BELOW)
MC – MEDICAL COMMUNITY
MP – MISSING PERSONS
MF – MORTGAGE FRAUD
MVA – MOTOR VEHICLE ACCIDENT INVESTIGATIONS
OC – ORGANIZED CRIME
OF – OIL/GAS FIELDS
PE – POLYGRAPH EXAMINER
PH – PHOTOGRAPHY
PL – PRODUCT LIABILITY
PP – PERSONAL PROTECTION
PSS – PHYSICAL SECURITY SURVEYS
PR – PROFILING
PTC – PATENT/TRADEMARK/COPYRIGHT
RA – RISK ASSESSMENT
SC – SECURITY CONSULTANT
SF – SECURITIES FRAUD
SU – SURVEILLANCES
TA – THREAT ASSESSMENT
TS – TECHNICAL SURVEILLANCE
TTA – TECHNICALLY-TRAINED AGENT
TTE – TIRE TREAD EVIDENCE
UC – UNDERCOVER MATTERS
UEP – UNLAWFUL EMPLOYMENT PRACTICES
VE – VIDEO ENHANCEMENT
WCC – WHITE COLLAR CRIME
WPV – WORK PLACE VIOLENCE
SPECIALTY - EW Expert WitnessPlease fill in if applicable. COURT QUALIFIED. SPECIFY.
SPECIALTY - EW LNG LanguagesPlease fill in if applicable. SPECIFY.
Were you referred by a member? Please type their name below so we can thank them.
First Name
Last Name
Thank you for joining the Secure FBI Directory!
Within the week your information will be added to the Digital version of the Directory and you will receive an email with login instructions.
Then you will receive an email explaining how to log into the Member Login Directory on SecureFBIDirectory.com
Charles Beaudoin and Jane Mason Retired FBI Special Agents