Membership Reference Form
Name of Reference:
City, State, Zip:
Reference's E-Mail Address:
Reference CAC Membership Status:
Please describe your relationship to the applicant:
How long have you known the Applicant?
To your knowledge, is the applicant:
currently engaged in forensic work?
of good character?
If known, where is the applicant employed and what type of forensic work is the applicant doing?:
If you have not personally worked with the applicant, please list other CAC members with whom the applicant has been associated.:
Do you, without qualification, recommend the applicant for membership in the CAC?:
Not qualified to give opinion
If no, please state reasons/reservations below:
I certify that I am the reference listed above, and that all the information submitted on this form is true and correct to the best of my knowledge.