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NABCJ “Restoring Humanity – All Lives Matter”

The National Association of Blacks in Criminal Justice 2016 National Training Institute and Conference is an outstanding opportunity for professional and

personal enrichment. This conference offers helpful training workshops and the opportunity to network.

Who Should Attend?

Adult and Juvenile Jurisdictions Represented Federal State Local/County (city) Community Based

o Administrators o Administrative Support Staff o Behavioral Health Professionals o Correctional Consultants o Correctional Executives o Correctional Health Professionals o Correctional Managers and Supervisors o Correctional Officers o Court Personnel o Drug Abuse Treatment Managers o Law Enforcement Agents o Mental Health Professionals o Military Personnel o Offender Program Managers and Providers o Probation and Parole Officers o Researchers and Academia o Security Personnel o Students o Training Managers/Specialists o Vocational Trainers and Educators

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National Association of Blacks in Criminal Justice

~ Our Mission ~

MISSION To act upon the needs, concerns and contributions of African Americans and other people of color as they relate to the administration of equal justice. THE ASSOCIATION The National Association of Blacks in Criminal Justice is a multi-ethnic, non-partisan, non-profit association of criminal justice professionals and community leaders dedicated to improving the administration of justice. The Association was founded as a vehicle by which criminal justice practitioners could initiate positive changes from within, while increasing opportunities for the average citizen to better understand the nature and the operation of our local, state and federal criminal justice processes. Membership and participation in the activities of the Association are open to all, irrespective of race, creed or country of national origin. For NABCJ members, criminal justice is more than just a career; it is a commitment to a fundamental aspect of our democracy – justice. PURPOSE The National Association of Blacks in Criminal Justice seeks to focus attention on relevant legislation, law enforcement, prosecution and defense related needs and practices, with emphasis on courts, corrections and the prevention of crime. Among its chief concerns is the general welfare and increased influence of African Americans and people of color as it relates to the administration of justice. NABCJ is designed to serve the needs of African Americans and people of color at all levels, including non-professionals, and professionals. Anyone may become a member of the Association. The National Association of Blacks in Criminal Justice encourages ex-offenders to join and contribute their perspectives to this unique and dynamic organization.

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2016 Tentative Program Agenda 43rd Annual Conference and Training Institute

“Restoring Humanity: All Lives Matter”

Friday, July 15, 2016

6:00pm - 8:00pm Board of Directors Meeting

Saturday, July 16, 2016

10:00am – 12:00 pm Town Hall Meeting – “What Matters to Me” – Off site 3:00 pm – 5:00 pm Pre-Registration (Conducted for Pre-Registrants Only)

Sunday, July 17, 2016

11:00 am – 1:00 pm Inter-Faith Worship Service 1:00 pm – 5:00 pm Registration 1:00 pm – 5:00 pm Exhibits/Criminal Justice Career Expo/Networking 3:00 pm – 5:00 pm Chapter President’s Meeting 6:00 pm – 8:00 pm Reverend Warren Dolphus Gospel Extravaganza

Monday, July 18, 2016

7:00 am – 8:00 am Chapel Services 7:00 am – 4:00 pm Registration (Registration will be closed during the opening session starting at 8:25am) 8:30 am – 10:30 am Opening Session - Keynote Speaker: TBD 9:00 am – 4:00 pm Youth Summit (Pen or Pencil)

10:30 am – 12:00 pm Plenary Session 12:00 pm – 1:15 pm Stand Up Man Up Luncheon – Keynote Speaker: Dr. Frederick D. Haynes III (ticket required)

12:00 pm – 1:15 pm Lunch on your own 12:00 pm – 2:00 pm Exhibits/Criminal Justice Career Expo/Networking 1:00 pm – 3:00 pm Andrew Chishom Professional Development Institute Session I: Offender Assessment and Case Management (Must Pre-Register – Limited to first 20 registrants. No fee assessed.)

1:00 pm – 5:00 pm Election of Representatives to the National Board of Directors 1:30 pm - 3:15 pm Concurrent Workshops 3:15 pm – 5:15 pm Andrew Chishom Professional Development Institute Session II: Creating Positive Pre- Social Behavior through Cognitive Behavioral Programs (Must Pre-Register – Limited to first 20 registrants. No fee assessed.) 3:30 pm - 5:15 pm Concurrent Workshops 4:30 pm – 6:00 pm Exhibits/Criminal Justice Career Expo/Networking 8:00 pm – 12:00 am Dallas Night

All tickets for the Scholarship Luncheon Tuesday, July 19th must be purchased by 10:00am on Monday, July 18th.

Tuesday, July 19, 2016

7:00 am – 8:00 am Chapel Services 8:00 am – 4:00 pm Registration 8:00 am – 11:00 am Election of Representatives to the National Board of Directors 8:00 am – 10:00 am Plenary Session – Justice Forum 10:15 am – 12:00 pm Concurrent Workshops 10:00 am – 11:45 am Exhibits/Criminal Justice Career Expo/Networking 12:15 pm – 1:45 pm Victoria Myers Scholarship Luncheon - Keynote Speaker: Susan L. Taylor 2:00 pm – 3:45 pm Concurrent Workshops 2:00 pm – 6:00 pm Exhibits/Criminal Justice Career Expo/Networking 3:00 pm – 5:00 pm Chapter President’s Meeting 3:00 pm – 5:00 pm Student Chapters Meeting 4:00pm – 5:45pm Concurrent Workshops 8:00 pm – 10:00 pm Ohio Hospitality All tickets for the Bennett Cooper Awards Banquet must be purchased by Noon on Tuesday, July 19th.

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2016 Tentative Program Agenda 43rd Annual Conference and Training Institute

“Restoring Humanity: All Lives Matter”

Wednesday, July 20, 2016

7:00 am – 8:00 am Chapel Services 8:00 am – 12:00 pm Registration 8:00 am – 12:00 pm FBOP Meeting 8:00 am – 12:00 pm Exhibits/Criminal Justice Career Expo/Networking 8:15 am – 10:00 am Concurrent Workshops 10:15 am – 11:45 am Concurrent Workshops 12:00 pm – 1:30 pm Lunch on your own 1:00 pm – 5:00 pm Correctional Tours – Limited spaces at each facility.

FCI Seagoville Dallas County Juvenile Detention Center (Must be 21 or older) Hutchins State Jail Dallas County Jail

o You must sign up when you pre-register for the conference. o On-site registrants will be allowed to go on the tours based on availability. o Photo id is required for correctional tours. o Please dress appropriately for the tours. Inappropriate clothing (such as

provocative or revealing clothes) may result in your being denied access to tour the facility.

1:15pm – 3:00pm Concurrent Workshops 3:00 pm – 4:00 pm National Board of Directors Meeting (Closed Session)

6:15 pm – 7:15 pm Photographs (Board Members, New Lifetime Members, All Lifetime Members, Award Recipients and Scholarship Recipient)

7:30 pm – 10:00 pm Dr. Bennett Cooper Awards Banquet

Thursday, July 21, 2016

8:30 am – 11:00 am Business Breakfast/Closing Session

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National Association of Blacks in Criminal Justice 43rd Annual Conference & Training Institute

“Restoring Humanity: All Lives Matter”

Victoria Myers Scholarship Luncheon

Featuring Keynote Speaker: Susan L. Taylor

Tuesday, July 19, 2016 – 12:15pm

Sheraton Dallas Hotel 10

National Association of Blacks in Criminal Justice THE CRIMINAL JUSTICE SOLUTIONS ORGANIZATION

“COMMITTED TO JUSTICE FOR ALL”

DATE: _____________________________

Please type or print legibly: Mr. [ ] Mrs. [ ] Ms. [ ] Dr. [ ] Name ________________________________________Title/ Agency_________________________________________

Mailing Address_________________________________________________________________________________________

City__________________________________________________State____________________Zip______________________

Work Phone (____) _______________Home Phone (____) ___________________________Fax (____) __________________

E-mail address__________________________________________________________________________________________

Special Dietary Needs_____________________________________________________________________________________

Yes____ No____ I Will Require a Training Certificate For My Employer

Pre-Registration Rates Are: ______Member-$350 _______Non-Member-$420_____One Day*-$180______Student**-$150

Pre-registrants must to be placed on list. On-site registrants based on seat

availability. _______Wednesday July 20, 2016

Advance and On-site Registration Rates Are:

______Member-$475_______Non-Member-$545______One Day *-$195______Student**-$150

Total amount enclosed: ________________Make check or money order payable to NABCJ

Mailing address must be the same as billing address for Credit Card. A $3.00 processing fee will be added to each Credit Card transaction.

Credit Cards Accepted: Credit Card:

Type of Card: ________________________ CC#: _________________________________________ Exp. Date_____________________Signature_____________________________________________

If you have any questions or require assistance for a disability, please explain above or contact: NABCJ, NC Central University, P.O. Box 20011-C, Durham, NC 27707, telephone :( 919) 683-1801;

fax (919) 683-1903, or call us toll free at, (866) U4NABCJ (866) 846-2225 *Workshops only, **Documented f/t undergraduate student

®

Advance and On-site Registration 06/16/16 - 07/21/16

Registration Form Or You can apply online at: www.nabcj.org

Pre- Registration

Credit Card Payment

43rd Annual Conference & Training Institute July 17th – 21st, 2016

Sheraton Dallas Hotel ~ Dallas, Texas

Correctional Tours

NABCJ must receive a “written cancellation notice” no later than July 1, 2016, in order for us to refund conference registration. No conference registration will be refunded after that date. Refunds will be issued 4-6 weeks after the conference. All cancellations will be assessed a $100.00 processing fee (including credit card debit transactions). Confirmed registrants “no shows” are liable for the entire registration fee. Substitutions, including those made on-site, are allowed with the written permission of the original registrant.

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Join NABCJ in Dallas, Texas for their

43rd Annual Conference & Training Institute

“Restoring Humanity: All Lives Matter” Take Advantage of the 6 Month Easy Payment Plan

(Final Payment due - June 2016)

Member Registration Only 2 payments of $125 w/a final payment of $100

Non-Member Registration Only

2 Payments of $145 w/ a final payment of $130

Final payment must be postmarked by June 1, 2016 (Includes taxes and service fees)

There will be a $50 hold PER DAY on ALL credit/debit cards for incidentals

Registration and Hotel Accommodations- Members

6 Payments Registration/Hotel (4 nights) - 5 payments of $175 w/final payment of

$50 Registration/Hotel (5 nights) - 5 payments of $185 w/final payment of $140 Registration/Hotel (6 nights) - 6 payments of $200

Registration and Hotel Accommodations- Non-Members

6 Payments Registration/Hotel (4 nights) - 5 payments of $175 w/final payment of $120 Registration/Hotel (5 nights) - 5 payments of $200 w/final payment of $135 Registration/Hotel (6 nights) - 5 payments of $225 w/final payment of $150

Payment can be made by check, money order or credit card. Final payment must be post marked by June 1, 2016. Credit card payments can be faxed to 1 919 683-1903.

There will be a $100 cancellation fee. Cancellations must be in writing. Payments should be made payable to NABCJ and mailed to NABCJ, North Carolina Central University, 1801 Fayetteville Street Room 106 Whiting Criminal Justice Building P.O. Box 20011-C Durham, North Carolina 27707. Questions - 1 919 683-1801

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2016 Tentative Workshop Topics

“Restoring Humanity: All Lives Matter”

The Treatment Industrial Complex: How For-Profit Prison Companies are attempting to profitize community corrections

A Qualitative Analysis on the Parent/Child Dynamic Among Incarcerated Black Women: Suggestions for Policy and Practice

Being Black in Mental Health: From Graduate School, Internship to Working

in the Criminal Justice System

Gang Culture & Violence

Now That I Made It: Strategic Crime Control and the Black Community

COPS

Where is the Village?

Addressing the Issues of Father Absence in Substance Use Treatment

The Laws of Life and How They Impact the Life of an Offender

Detox Your work Environment

Ethics: It's Everybody's Business

Is it Murder or Duty? Perspectives on the Death of African American Men at the Hands of Law Enforcement

The House I Live In

Organizing, Managing and Mentoring Students

Justice Reinvestment: Divesting in the School-to-Prison Pipeline (S2PP)

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NABCJ

43rd ANNUAL CONFERENCE & TRAINING INSTITUTE Conference Housing Reservations Form

July 17-23, 2016 The Sheraton Dallas Hotel

Dallas, Texas

_____________________________Date Name___________________________________________________________________ First Middle Last Address_________________________________________________________________ ________________________________________________________________________ City State Zip Code Work (___) ________________ Cell (___) Fax (___) ______________ E-mail address____________________________________________________________ Arrival Date__________________Time___________Departure Date King Double Roommate (if applicable) Deadline for Hotel Reservation is June 1, 2016. (Rate may be higher after this date) (*****Please Note: Rates are Only Guaranteed When Made through the NABCJ Housing Bureau)

There will be a $50 hold PER DAY on ALL credit cards for incidentals. Room Rate: $125.00 + $18.45 (tax) = $143.45 per night Credit card: American Express_____ Visa______ Master Card______ Discover___________ Credit Card # ____________________________________ Exp. Date **Credit card reservations will be accepted by fax at 919.683.1903. Money orders & checks must be mailed, along with this form to: NABCJ, NCCU, P.O. Box 20011-C, Durham, NC 27707. Name as printed on card: _______________________Signature: (Billing address for credit card should be same as address above)

Reservations can also be made at www.nabcj.org by clicking on the Sheraton Dallas Link.

Questions: Contact Bea Anderson via e-mail at: anderbea@comcast.net Fax completed form to National Office @ (919)-683-1903

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Sheraton Dallas Hotel

Relax and rejuvenate in our newly remodeled contemporary guest rooms. Enjoy a 37'' LCD TV, cozy duvet covers, and an oversized work desk positioned for dramatic city views. The Sheraton Sweet Sleeper(SM) Bed is custom-designed for a great night's sleep, with a plush top mattress and four pillows. High Speed Internet Access is available upon request for a fee.

All Rooms Feature:

Check-In: 3 p.m. – Checkout: 12 noon Alarm clock radio with connection for MP3 player 37-inch flat screen TV with premium cable Internet access (for a charge) Air-conditioning Safe Iron & Ironing board Hairdryer

Hotel Features

24-hour Sheraton Fitness Center Sheraton Club Heated Rooftop Pool Restaurants (The Kitchen Table, Draft Media Sports Bar, and Peet’s Coffee & Tea)

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The National Association of Blacks in Criminal Justice 43rd Annual Conference and Training Institute

Sheraton Dallas Hotel Dallas, Texas

July 17th -21st, 2016 Vendor/Exhibitor Registration Form

Each registration includes entrance to all functions including luncheon. Booths are assigned in the order they are received and only two (2) vendors selling the same product will be accepted (i.e. jewelry, clothes, purses, etc.).

Exhibit Hours: Sunday, July 17 Set-up: 9 am – 12:00 pm 1:00 pm – 5:00 pm Reception: 5:00 pm – 6:00 pm

(In Vendor Area) Monday, July 18 11:00 am-6:00 pm All Coffee Breaks (In Vendor Area) Tuesday, July 19 7:00 am –11:45 am 2:30 pm -6:00 pm All Coffee Breaks (In Vendor Area) Wednesday, July 20 7:00 am-12:00 pm Breakdown after 12:00 pm

(Please print or Type) Company Information:

Company name:

Street address: City: State: Zip Code:

Office Phone: ( )

Cell Phone: ( )

Email Address:

Website:

Contact Person: Briefly describe the nature of your company:

Company representatives at conference: (Please print clearly or type names exactly as name badges should be prepared). Please see below sponsorship levels for amount of registrations included. Additional representatives may register at an additional cost of $100.00 each.

1. Name: Phone: ( ) Email Address: 2. Name: Phone: ( ) Email Address: 3. Name: Phone: ( ) Email Address:

4. Name: Phone: ( ) Email Address: 5. Name: Phone: ( ) Email Address:

Sponsorship Information Platinum: $10,000+ Includes: Exhibit booth (6’ skirted table ), five – six conference registrations, one team registration for golf tournament, full page ad in conference program, acknowledgement in conference program, ad in quarterly NABCJ newsletter “The Commitment”, link on NABCJ website, and sign recognition. Vendor will have their logo on a rolling PowerPoint during conference. Gold: $5,000 Includes: Exhibit booth (6’ skirted table), three - four conference registrations, two player registration for golf tournament, full page ad in conference program, acknowledgement in conference program, link on NABCJ website, and sign recognition. Vendor will have their logo on a rolling PowerPoint during conference. Silver: $4,000 Includes: Exhibit booth (6’ skirted table), two - three conference registrations, full page ad in conference program, acknowledgement in conference program, link on NABCJ website, and sign recognition. Vendor will have their logo on a rolling PowerPoint during conference. Bronze: $3,000 Includes: Exhibit booth (6’ skirted table), one - two conference registrations, full page ad in conference program, acknowledgement in conference program, link on NABCJ website, and sign recognition. Vendor will have their logo on a rolling PowerPoint during conference.

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PRICING Level **Exhibit Space** Qty Platinum-includes full page ad $10,000 + $ Gold-includes full page ad $5,000 $ Silver-includes full page ad $4,000 $ Bronze-includes full page ad $3,000 $ Exhibit Booth Only-includes 1/2 page ad $600.00 $ Corporate: $800.00 **Advertising Space Only** Full Page Ad $300.00 $ Half Page Ad $150.00 $ Quarter Page Ad $75.00 $ Business Card $30.00 $ Total Payable to NABCJ $ My company would like to give away a door prize to registered participants ____ Yes ____ No

My company would like to donate items for the conference bags ** (700 bags will be made, please plan accordingly)** ____ Yes ____ No

~ If your company will be donating items for any of the above, please contact Deborah Burwell for delivery information at 919-683-1801 or office@nabcj.org. ~

EXHIBITOR NABCJ CONTACT INFORMATION Advertising Space Camera ready ads (pdf, jpeg, or tif files). Due by May 15, 2016. Size format as follows: full page ad (8W x 11L), half page ad (8W x 5.5L), quarter page ad (4W x 5.5L) Artwork should be emailed to Deborah Burwell at: office@nabcj.org

Payment Options NABCJ would appreciate payment in full. If that is not possible, a deposit, minimum 50 % is required with your order with full payment of balance due no later than June 16, 2016. Please return a copy of this form with your payment and remit to: NABCJ c/o Deborah Burwell P.O. Box 20011-C Durham, NC 27707or Fax: 919-683-1903 Requests for refunds must be received by June 16, 2016 Credit Card __ Visa __MC __AMEX __Discover Check payable to NABCJ Name on Card: Billing Address Billing Phone #: Credit Card #: Exp Date: CVC Email Address: Amount: $ Signature

Exhibit Booth Only: Small Business and Non-Profit: $600.00 Corporate: $800.00 Includes: Exhibit booth (6’ skirted table), one conference registration, ½ page ad in conference program

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®

National Association of Blacks in Criminal Justice The Criminal Justice Solutions Organization

“Committed To Justice for All”

Application Criteria For the

National Association of Blacks in Criminal Justice Thurgood Marshall Scholarship Award

The National Association of Blacks in Criminal Justice (NABCJ) will award a scholarship to anindividual who demonstrates academic excellence and financial need. This scholarship award is presented annually at NABCJ’s Annual Conference and Training Institute (the scholarship recipient is encouraged to attend the National Conference usually held in July). The purpose ofthe Scholarship is to offer deserving students financial assistance in continuing their education in the criminal justice field. The scholarship is awarded to the best candidate who is in good scholastic standing and plans to pursue a Bachelor's Degree in Criminal Justice or a closely related Criminal Justice field. Theamount of the scholarship is $2,000.00.

A. Academic Criteria:The successful candidate demonstrates superior achievement in past educationalaccomplishment activities and has been accepted in a Criminal Justice Undergraduateprogram.1. Candidate has maintained the equivalent of a “B” average.2. Candidate has been accepted or is currently enrolled in an undergraduate degree

program in Criminal Justice that will start the fall after receipt of the scholarship.3. The Candidate must submit a 1,000-word essay on why they are pursuing a career in

Criminal Justice and why they are seeking the scholarship.4. Candidate must provide a copy of high school/current transcript supporting the

reported GPA and must also include a copy of acceptance letter from University orCollege where accepted.

B. Financial CriteriaA successful candidate will demonstrate need based on hardship or lack of opportunity toaccumulate supplemental financial funds for the candidate’s education.1. Specific criteria for demonstrating financial need are:Emancipated youth) will submit a statement explaining prior financial planning for thecandidate’s education.2. A statement will be submitted by the candidate’s parent or the legal guardian that

describes the present need for financial assistance.3. Supportive documentation must be at least one or more of the following provided by

the student and/or the parent: Current W-2 form, 1040, Aid to Families withDependent Children (AFDC), or Financial Aid.

C. Volunteer Service:Candidate must provide documentation of community/volunteer service.

***Incomplete Applications will not be processed.

APPLICATIONS MUST BE POSTMARKED BY MARCH 25, 2016 MAIL TO: NCCU/NABCJ P.O. BOX 20011-C, DURHAM, N.C. 27707

®

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National Association of Blacks in Criminal Justice The Criminal Justice Solutions Organization

“Committed To Justice for All”

THURGOOD MARSHALL SCHOLARSHIP AWARD APPLICATION FORM

Please type a clearly print: Student’s Name: _________________________ ________________________ ________ Last First MI Applicant’s Address: ______________________ ________________________________ Street Address Post Office Box/Apt. Number _______________________________________ _____________ ___________________ City or Town State Zip Code ( )______________________________ ________________________________ Area Code-Telephone # Email School Name:___________________________________________________________ School Address:_________________________________________________________ ______________________________________________________________________ Anticipated Date of Graduation:____________________________________________ Month Year Major Course of Study: __________________________________________________ Do you work? _________Yes _________No _________Full-Time _________Part-Time -Write a biographical sketch of one hundred words or less -Include your letter(s) of recommendations: -Signatures: Department Chair/ School Principal________________________________________ (Please Print Name) ____________________________________ (Signature) Counselor_____________________________________________ (Please Print Name) ____________________________________ (Signature) Student_______________________________________________ (Please Print Name) ____________________________________ (Signature) Parent/Guardian________________________________________ (Please Print Name) ____________________________________ (Signature) ***Please Note: Candidates who complete an application, but are not awarded the Thurgood Marshall Scholarship, may be considered for the NABCJ President’s Council $500 Scholarship.

®

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National Association of Blacks in Criminal Justice

~ Our History ~

The National Association of Blacks in Criminal Justice (NABCJ) is a nonprofit, non-partisan, multi-racial professional association of individuals committed to the goal of improving the administration of justice at the local, state and federal levels. The genesis of NABCJ came to the University of Alabama during a historic conference on “Blacks and the Criminal Justice System” hosted by Dr. Charles Owens in February 1974. At the meeting, Dr. Bennett Cooper, then Director of the State of Ohio’s Department of Rehabilitation and Correction, called for the establishment of a permanent national organization that would focus on the goal of achieving equal justice for Blacks and other persons of color. The conference supported Dr. Cooper’s recommendation and created a committee to establish the National Association of Blacks in Criminal Justice, Inc. Over the years, a considerable portion of NABCJ’s membership has come from the ranks of law enforcement professionals representing the entire spectrum of the criminal justice process. A major asset of NABCJ is its ability to attract a strong mix of members engaged in law enforcement, institutional and community corrections, courts, social services, academics, religious and community service. As a National Association, a substantial part of NABCJ’s strength and vitality can be found in its state and local chapters. Through the efforts of its members, NABCJ provides an action-oriented vehicle for initiating constructive change within the criminal justice system. With state and local chapters located across the United States, the association has shown consistent and positive growth. Through the coordinated efforts of its members, NABCJ provides thousands of volunteer service hours to the communities in which its members work and reside. NABCJ’s annual national, regional and state conferences provide in-service training in the field of corrections, management and leadership. All funds generated by the association are used to carry out official activities, e.g., educational programs, training conferences, scholarships, research and public awareness. All national, state and local officers, as well as the board of directors, are volunteers who serve with no monetary compensation.

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*Undergraduate Students Applying for Membership must be enrolled full-time (12 credit hours per semester) Graduate Students (9 Credit hours per semester) and cannot be employed full –time to qualify

for Student Membership. Student must send proof of current enrollment by submitting an unofficial transcript, or a copy of their registration receipt. Membership will not be processed without verification.

National Association of Blacks in Criminal Justice “THE CRIMINAL JUSTICE SOLUTIONS ORGANIZATION”

“COMMITTED TO JUSTICE FOR ALL”

DATE: ________________________

Please type or print legibly: ________________________________________________________________

Position of Employment __________________________________________________________________

Agency of Employment __________________________________________________________________

Mailing Address ________________________________________________________________________

City ___________________________________________State _____________Zip __________________

Work Phone (____) ______________Home Phone (_____)_________________Fax (_____)____________

E-mail Address _________________________________________________________________________ NABCJ’S primary communication with members is through email.

[ ] Law Enforcement [ ] Judicial Administration [ ] Juvenile Justice [ ] Institution-Based Corrections [ ] Community-Based Corrections [ ] Individual Family Support [ ] Criminal Justice Education and Training [ ] Other (Specify) ________________________________________________________________________

1. - - - - 2. Are you employed by: [ ] Federal Agency [ ] State Agency [ ] Local Agency [ ] Private Sector

[ ] Other (Specify) _____________________________________________________________________ 3. Are you a member of ACA [ ] Yes [ ] No 4. When did you last attend a NABCJ Conference? _____________________________________________ 5. Have you attended a NABCJ Conference? [ ] Yes [ ] No 6. Are you a member of a NABCJ Chapter? [ ] Yes [ ] No. If yes, which Chapter ______________________ 7. Are you currently a student? [ ] Yes [ ] No. If yes, what University? ______________________________ Major _______________________________________Expected Year of Graduation ________________ Type of Application: [ ] New [ ] Renewal Type of Membership: [ ] Active-$50 [ ] *Full-time Student-$15 * See Note at Bottom of Page [ ] Agency-$300 Lifetime-Regular [ ] $1500 Lifetime-Silver [ ] $3000 Lifetime-Gold [ ] $4000 Lifetime-Platinum [ ] $5000 Send application and check or money order payable to: Your local NABCJ Chapter or National Office Credit Card: Type of Card: ____________________CC#__________________________________________________ Expiration Date ____________________ NABCJ-National Association of Blacks in Criminal Justice –NCCU – P.O. Box 20011-C –Durham, NC 27707

Or you can apply online at: www.nabcj.org MEMBERSHIP APPLICATION

Professional Interest

Please Tell Us About Yourself

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At Nationwide®, we’re proud to support those who support the community. And to show our appreciation, we’d like to offer community leaders like you products and services that support your life — simply for doing the job you love.

Nationwide Insurance has made a financial contribution to this organization in return for the opportunity to market products and services to its members or customers. Products underwritten by Nationwide Mutual Insurance Company and Affiliated Companies.  Home Office:  Columbus, OH 43215.  Subject to underwriting guidelines, review, and approval. Products and discounts not available to all persons in all states. Nationwide, Nationwide is on your side and the Nationwide N and Eagle are service marks of Nationwide Mutual Insurance Company. © 2015 Nationwide AFR-0479AO (09/15)

Thank you for your service to the community.

To learn more, visit www.nationwide.com/nabcj, call 1-855-912-2343 or contact your local agent.

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