Last Name *

First Name *

Middle Name *

Address Line 1 *

Address Line 2

City

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Postal Code *

Country

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Phone *

Fax

Home Phone

SSN *

(Required for employment verification)

Texas_License

Non-Texas_License

Email *

Membership Status *

TALI Member at this time?

Certifications

List all currently held certifications.  Copies of current certification proof must be uploaded. 

20MB max

(1) Employer Name *

Dates of Employment *

Full Address *

Phone *

Supervisor's Name/Title *

Employer's Texas License Number *

Applicant Job Title/Duties *

(2) Employer's Name

Employment Dates:

Full Address

Phone

Supervisor's Name/Title

Company License Number

Applicant's Job Title/Duties

Attestation 1 *

I acknowledge that from the date of this application, I must complete the TBCI Certification process within two (2) years from the initial date of the original application.

Attestation 2 *

By submitting this application for the Texas Board Certified Investigator (TBCI) Program, I agree to adhere to all Bylaws of the Texas Association of Licensed Investigators, Inc. (TALI), to the rules and regulations as regulated by the Texas Department of Public Safety, to the TBCI Policies and Procedures Manual of the TBCI Program and to the laws of the State of Texas and the United States of America. I further voluntarily give TALI or its designee(s) permission to inquire into my qualifications for my acceptance into this Program.