Page 22 - Sentinel Volume 33 Issue 1 2017_Neat

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ATTENTION RETIREES:

The Executive Board would like to announce a new feature for the Sentinel Magazine.
Retired members will be honored for their service and longevity as members.
A retired member will be featured in each subsequent magazine. However, we need the DATA to do this.

Please fill out the information sheet below and return it to:

Sgt. Michael Murphy
Brookline Police Department
350 Washington Street
Brookline MA 02445 or email murphy@masspolice.com

FIRST NAME ________________________ LAST NAME_______________________________________
ADDRESS______________________________________________________________________________

Phone ______________________________Email_______________________________________________
Department___________________________Date of Hire ______________Date of Retirement___________
Years of Service_______________ Rank at Retirement__________Awards Received __________________

________________________________________________________________________________________
Veteran Status_________ Branch of Service ____________________ Years of Service ________________

History of any Military Honors or Awards_____________________________________________________
MPA Membership Years ______________ MPA Executive Board Member: Y or N
Positions Held and Years __________________________________________________________________

Family History in Law Enforcement___________________________________________________________
_______________________________________________________________________________________

Other Pertinent Information_________________________________________________________________
_______________________________________________________________________________________

DOWNLOAD FULL VERSION OF APPLICATION FROM WWW.MASSPOLICE.COM

22 MASSACHUSETTS POLICE ASSOCIATION