ERIIEspionage Research Institute International

Membership Application

Required fields are marked with *

If you do not desire your contact information to be listed in our membership roster, please check here:

*Date: Date of Birth:

*Name: Title:

Organization/ Company:

*Address:

Mailing Address (ifdifferent from above):

*Phone1 (office):

Phone2 (mobile):

Fax:

*Email:

Website:

Please fill out the form below, print, and submit by mail, fax, or email to:

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Please select: Former ERI New Membership

Type of membership: FULL ASSOCIATE

OFFICE USE ONLYDate received: Payment received date:

Notes:

Payment type:

On Line Credit Card Other

Description of membership categories, fees, and credit card form can be found on the last page of this document.

Espionage Research Institute International (ERII) 4445 Corporation Lane, Suite 291Virginia Beach, VA 23462 USA

Email: lml@erii.org

Phone/Fax: 757-716-7353

Please briefly describe your TSCM work experience and dates:

Please list any TSCM schools attended, training, certification, etc., include dates:

Specialties and other professional organizations:Please list any specialty fields in which you might be able to offer support or help to ERII or it’s members (i.e.computer forensices, for-mer law enforcement, engineer, telecom, etc.) include trade organizations or professional accreditation (ASIS, IAPSC, CPP, PSP, etc.):

Have you ever been convicted of a felony or misdemeanor crime involving moral turpitude: NO YES

If yes, please explain (include dates):

ERIIMembership Application

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Are you a full time TSCM services provider (available for referral work)? -YES -NO

ERIIMembership Application

Reference 1

Name: Title:

Company:

Address:

Phone:

Email

Relation to candidate:

Reference 2

Name: Title:

Company:

Address:

Phone:

Email

Relation to candidate:

References (required for new members)

Declaration:

The information I have provided in this application is true to the best of my knowledge. I understandthat my application may be revoked or my membership canceled, and all membership fees forfieted ifany of the information is found to be false. I authorize ERII to verify any or all information provided.If I am accepted for membership into the Espionage Research Institute International, I agree to be boundby it’s mission, rules & ethics.

Signature: Date:Typed signature will be accepted as valid for emailed applications.

All ERII applicants must also read and sign and abide by the ERII Code of Ethics on the following page

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WHEREAS, The prestige of the Technical Surveillance Counter Measures (TSCM) and Technical Security industries depends onthe observance of high standards of ethics by its practitioners, and

WHEREAS, The failure of one practitioner to observe high ethical standards reflects on the other practitioners in the industry,

 IT IS RESOLVED that all members of ERII will abide by the following code of conduct and ethics.

I, as a member of ERII, in recognition of the need to develop and maintain high standards of ethics, under God, and competence inthe practice of our profession do, as a condition of membership, hereby agree:

1. To hold myself to the highest standards of ethical behavior in my person and professional practice;

2. To accept responsibility for my decisions that effects a client's security against espionage attacks and penetrations;

3. To avoid real or perceived conflicts of interest whenever possible and to disclose them to affected parties when they do exist;

4. To be honest in representing myself regarding the extent of my expertise and capability and that of my company;

5. To be honest and realistic in stating claims or estimates based on available data;

6. To reject bribery in all its forms;

7. To improve my understanding of counterespionage methods, their appropriate application, and their potential consequenceswhile making every possible effort to not instruct or otherwise aid others in espionage methods;

8. To maintain and improve our technical competence as a group and to undertake technological tasks for others only if qualified bytraining or experience, or after full disclosure of pertinent limitations;

9. To seek, accept, and offer honest criticism of professional C/E work, to acknowledge and correct errors, and to credit properlythe contributions of others;

10. To treat fairly, all persons regardless of such factors as race, religion, gender, disability, age or national origin;

11. To avoid injuring others, their property, reputation, or employment by false, malicious, or otherwise defamatory action;

12. To assist colleagues and co-workers in their professional development and to support them in following this code of ethics;

13. To understand, and to act in conformity with, the letter and spirit of all applicable local, state and federal laws whenperforming my duties;

14. To view and handle as absolutely confidential all information concerning the affairs of my clients;

15. That my membership in ERII will be forfeited upon conviction of and crime, felony or misdemeanor involving moralturpitude.

16. That my membership in ERII may be forfeited by its Director upon notice of conduct unbecoming to ERII.

17. That my membership in ERII may be forfeited by its Director for non payment of dues, or unauthorized use of ERII's nameor logo.

Signature: Date:

Typed signature will be accepted as valid for emailed applications.

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ERII Code of EthicsResolution

ERIIMembership Application and Description

CREDIT CARD INFO Card type: VISA MC DISCOVER AMEX

Card number:

Expiration Date: CVC Code:

Name on card:

Payment for: -Full Membership $150 -Associate Membership $100 -Other

Membership Categories and Qualifications (subject to review and acceptance)

ERII Membership is restricted to the following categories of individuals:· TSCM Specialists· Active & Retired Counterespionage / Counterintelligence Practitioners· Non-practitioners with an interest in TSCM as either a service vendor or consumer may apply for Associate Membership.

Full ERII Member Qualifications. Fee: $150.00 annually· Active TSCM Specialists having a minimum of three years current experience providing TSCM services. Additionally, new

member candidates must provide proof of TSCM schools attended, relevant certifications and dates of completion forconsideration. Two business references also required.All new candidates must be recommended for membership by an ERII member in good standing.

· ALL existing ERI members as of 09-30-2011 are automatically grandfathered and eligible for full ERII membership.

Benefits of Full ERII Membership:· Eligible to attend annual ERII conference at member discounted pricing.· Eligible to participate in ERII training seminars.· Get access to the ERII web site “Members Only Portal”.· Use of the ERII logo for their business web site, which links back to ERII web site.· Full ERII Membership certificate suitable for framing and membership card.· Opportunity to submit TSCM subject matter articles for posting on ERII web site. (Posts must be related to educating

potential customers and/or industry on TSCM threats or current issues. All posts must be approved by ERII prior toposting.)

· Active Government, Military or Law Enforcement members who wish to remain anonymous will be accommodated.

Associate ERII Member Qualifications. Fee: $ 100.00 Annually· Non-practioners including security directors, corporate executives, law enforcement and others.· Non-practitioners with an interest in TSCM as either a service vendor or consumer.· A Full ERII member in good standing must recommend all new associate candidates for membership.

Benefits of Associate ERII Membership:· Eligible to attend annual ERII conference at member discounted pricing.· Eligible to participate in ERII training seminars.· Access to the new ERII web site ““Members Only Portal”· Associate Membership certificate suitable for framing.

Contact for membership applications or questions:For questions contact: J.D. LeaSure, Director, JDL@ERII.org

Applications can be scanned, signed and emailed in PDF form to: lml@erii.org Postal Address:

Espionage Research Institute International (ERII) 4445 Corporation Lane, Suite 291Virginia Beach, VA 23462 USA

Phone/Fax: 757-716-7353Payments can be made via check or credit card on the ERII website: www.erii.org or by using the

form below and fax or mail to the address or phone mentioned above.

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