Please print and mail application

              Make Checks Payable To KARCI

KARCI $50 - Regular Members

10308 Metcalf – Ste 202                             $250  Charter / Life-time Members   

Overland Park, KS 66212                       

APPLICATION FOR MEMBERSHIP in the 

 Kansas Association of Residential & Commercial Inspectors (KARCI)

Today's Date:  _____________________

Your Name: _________________________________________________________________

Spouse's Name:  _____________________________  Number of Children:  _____________

Company Name:  _____________________________________________________________

Mailing Address: _____________________________________________________________

City:  _________________________________ State:  _________  Zip Code:  ____________

Office Ph: _______________________  Home Ph:  _________________  Fax:  _____________

Email:  ____________________________________  Cell Ph:  ________________________

Number of Years As Home Inspector: (Full Time) _______   (Part Time) ________

Please Circle One: Full Time Inspector Now Part Time Inspector Now

Inspection Affiliation: ____ ASHI ___ NAHI  ___ InterNACHI  ___ Other (specify)__________

Certifications or Licenses: (Please Circle) EDI - Certified EIFS Inspector

FHA Compliance Inspector FHA 203k Inspector VA Fee Inspector 

KARCI $50 - Regular Members

10308 Metcalf – Ste 202                             $250  Charter / Life-time Members   

Overland Park, KS 66212                       

APPLICATION FOR MEMBERSHIP in the 

 Kansas Association of Residential & Commercial Inspectors (KARCI)

Today's Date:  ______________________

Your Name: _________________________________________________________________

Hello

Welcome


KARCI       $100 - Affiliate Members

10308 Metcalf – Ste 202                                       

Overland Park, KS 66212                       

APPLICATION FOR AFFILIATE MEMBERSHIP in the 

 Kansas Association of Residential & Commercial Inspectors (KARCI)

Today's Date:  ______________________

Your Name: _________________________________________________________________

Spouse's Name:  _____________________________  Number of Children:  _____________

Company Name:  _____________________________________________________________

Mailing Address: _____________________________________________________________

City:  _________________________________ State:  _________  Zip Code:  ____________

Off Phn:  _______________________  Hm Phn:  _________________  Fax:  _____________

Email:  ____________________________________  Cell Phn:  ________________________

Number of Years In Business (Full Time) _______   (Part Time) ________

Please Circle One: Full Time Now Part Time Inspector Now

Certifications / License / Trade:   [   ] Electrical [   ] HVAC      [   ] Commercial Refrigeration  

[   ] Plumbing     [   ] Sewer Scan / Drain Cleaning     [   ] Septic Pumping / Inspection    [   ] Wells

[    ] Appliance Sales / Repair      [   ] Carpeting / Flooring     [   ] Tile Work     [    ] Carpentry

[    ] City / County Building Codes Inspector       [    ] ICC / IBC Code Certified Inspector

[    ] WDI / Termites   [    ] Lead Paint       [   ] Asbestos     [    ] Mold Testing / Remediation  

[    ] Radon Testing / Remediation [   ]  Licensed PE [    ] Licensed Architect 

[   ] Web Site / SEO      [    ] Insurance      [    ] Foundation Repair / Water-Proofing     [    ] Rehab

Other (specify): _______________________________________________________________