All applicants for membership in the PALI must comply with the following:
    1. Answer all questions on this application.
    2. Submit Payment: A non–refundable application fee of $25.00 plus membership dues according to the following schedule, based on when the application is submitted:
         January 1 – June 30: $100.00 dues payment
         July 1 – October 31: $50.00 dues payment
         November 1 – December 31: $100 dues payment
    (will be applied to the following year)


    Full: Open to any individual who meets the eligibility requirements set forth by the Commonwealth of Pennsylvania and is licensed.
    Associate: Open to any individual residing outside of the Commonwealth of Pennsylvania and who is qualified to operate as a private investigator under the respective laws and regulations existing in that person's jurisdiction.
    Affiliate: Open to any individual engaged in the profession of private investigations, or private security services, or who exhibits and expresses an interest in furthering the standards and objectives of PALI.
    Service and Industry: Open to any individual or corporation that provides services or products relating to the private investigative industry and has an interest in furthering the standards and objectives of PALI.


    PERSONAL INFORMATION:
















    PRESENT EMPLOYER








































    EMPLOYMENT HISTORY:
    Please list the names, addresses and phone numbers of your past three (3) employers:






    OTHER INFORMATION:

    Optional:


    CERTIFICATION AND RELEASE OF INFORMATION AUTHORIZATION
    I am applying for membership in the Pennsylvania Association of Licensed Investigators, Inc. I understand that submitting false, misleading, or incomplete information on this application will result in revocation of my membership. I understand that all information provided to PALI must be done in writing. If it is necessary to augment or correct information, it must be in writing. I agree to abide by the Bylaws, Code of Conduct, and Code of Ethics of PALI. I will voluntarily surrender my PALI membership, if any violation of the Bylaws, Code of Conduct, or Code of Ethics is found, following proper procedures identified in the Code of Conduct. I have not tried to mislead nor conceal facts concerning my background or qualifications for membership. I further understand that if my application is accepted, any false, misleading, or incomplete statements on this application shall be considered sufficient cause for denial or termination of membership. I hereby authorize PALI to make any investigation of my personal, professional and employment history for the purpose of determining my eligibility for membership. This authorization releases and indemnifies any person, company or agency who furnishes such information from any liability whatsoever. A photocopy of this form shall be as valid as the original. This authorization is valid for 180 days from date of signature.

    I solemnly affirm, under the penalties of unsworn falsifications, that the contents of the foregoing are true to the best of my knowledge,
    information and belief.

    Applicant’s Signature: *

    Application Date: *


    SPECIALTY DATA SHEET FOR WEBSITE

    Please provide the following information for your page of the PALI website:
























    CPP CFE CFC CLI BCFE CII CPA





    Investigative Specialties

    Select the top three (3) specialties you would like your company to be listed under:
    Accident Investigation
    Accident Reconstruction
    Adoptions/Biological Parents
    Aerial Photography
    Arson Investigation
    Aviation Issues
    Background Investigation
    Banking Community
    Cell Tower Tracking
    Cellular Forensics
    Child Abuse Investigation
    Civil Investigation/Litigation Support
    Computer Forensics
    Corporate Investigation
    Covert CCTV Installation
    Criminal & Civil Investigation/Support
    Criminal Investigation/Support
    Crisis Management
    Custody & Support Issues
    Database Searches
    Debugging Services
    Domestic Investigation
    Drug Investigation
    Due Diligence
    Employment/Pre-Employment Issues
    Environmental Issues/Investigation
    Ethics Issues
    Expert Witness
    Explosives
    Financial Investigation
    General Investigation
    GPS Tracking
    Homicide/Death Investigation
    Insurance/Fraud Investigation
    Internal Theft Investigation
    International Investigation
    Interviews/Witness Locates
    Loss Prevention/Asset Protection
    Major Theft
    Medical Malpractice
    Missing Persons
    Nursing Home Abuse
    Personal Injury Investigation
    Photography
    Polygraph Services
    Process Services
    Product Counterfeiting
    Product Liability Investigation
    Profiling
    Protective Service
    Real Estate Investigation
    Risk Management
    School Security
    Security Consulting/Training
    Security Officer Deployment
    Security Surveys
    Sex Crimes
    Statement Analysis
    Surveillance
    Technical Countermeasures
    Trademark Protection
    Undercover Operations
    White Collar Crime
    Workers Compensation Investigation