2021 Combo Form - Crime Stoppers of Houston

Date*

Date Format: MM slash DD slash YYYY

Program*

Select a program from the list that best fits this event.

Type of Outreach*

Make a selection from the list.

Outreach Delivery*

Make a selection from the list.

Material Drop Delivery Method

Materials Dropped

Material Drop Description if Needed

Quantity of Items Dropped

Meeting Description

Briefly describe the meeting and your role. Also include, potential benefit to Crime Stoppers.

Staff Member*

Select appropriate staff and/or volunteer. If multiple staff are at the same event/presentation, select multiple staff.

Other Staff Member/Volunteer Name

Group Type*

Is this a school or community group.

Name of Group/Organization/School (as shown on Google)*

Enter the name of the group, organization and/or school. If this is outreach, enter the name of the event. If this is a meeting, enter the group or person that you had a meeting with.

District*

Enter the school district. Enter N/A for anything other than a school.

School Classification*

Enter N/A for groups other than a school (HOA, after school programs, camps etc.)

School Level*

Enter N/A for groups other than a school (HOA, after school programs, camps etc.) Select Multi-Grade for schools that have lower and upper schools on their campus.

Grade Level (i.e. 3, 4, 5) Do NOT enter 3-5 as it will not populate correctly

Please enter 3,4,5 rather than 3-5. Please enter PK or K for Pre-Kindergarten and Kindergarten Leave blank for groups other than a school (HOA, after school programs, camps etc.)

Location Address*

Enter street address and zip code only. Example: 123 Main Street 77005

English or Spanish*

Was this presentation given in English or Spanish?

SSI Presentation/Training Topic

Select presentation topic.

SCP Presentation/Training Topic

Select presentation topic.

2021 Combination Presentation Log