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2. 
4. Apply for Membership
   • The APD Shield program is designed for Security Directors (or their equivalent), Assistant Security Directors, Security Managers, Law Enforcement, and Government Agency Personnel in the Nebraska Panhandle. 
   • Interested parties who do not meet these criteria are encouraged to contact their own security directors to become SHIELD members. Doing so will help them gain access to SHIELD resources and allow SHIELD to act as a force multiplier for the safety and well-being of the city.
   • As a reminder the Shield program is a 2-way street, you will be expected to share your open source intelligence with Shield. This will assist in our efforts to disseminate important information to other members that could benefit from your intel.
   • Allow APD Shield to act as a force multiplier for the safety and well-being of the city. 
6. First Name*

   Please specify your first name.

8. Last Name*

   Please specify your last name.

10. Date of Birth*

    Please enter your date of birth. 

12. Business Email Address*

    Please specify your business email address. Email address must be in the format alias@domain.extension, for example joe@company.com 

14. Company Address*

    Please specify your company address.

16. Company Main Address City*

    Please specify your company main address City.

18. Company Main Address State*

    Please specify your company main address State.

20. Company Main Address Country*

    Please specify your company main address Country. 

22. Company Main Address Zip Code*

    Please specify your company main address Zip Code.

24. Same as Above*

    1. Yes
    2. No (Fill out the below)
26. Actual Physical Work Address

    Please specify your actual physical address.

28. Actual Physical Address City

    Please specify your actual physical address City.

30. Actual Physical Address State

    Please specify your actual physical address State.

32. Actual Physical Address Country

    Please specify your actual physical address Country. 

34. Actual Physical Address Zip

    Please specify your actual physical address Zip.

36. How did you hear about us?*

    Please specify how you heard about the APD SHIELD program.

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38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field