Crime Stoppers Presentation Request

In Harris County

Contact Information

Type of Organization(Required)

Select school if the audience will be school staff/law enforcement and students or parents at a specific school. Select community for all others.

Organization or School Making This Request(Required)

Name(Required)

Point of contact for our staff

First Last

Phone(Required)

Email(Required)

Address(Required)

Street Address Room #/Building # City ZIP Code

Notes/Parking & Building Instructions(Required)

Please provide any additional information and/or special instructions of where our presenter can park and/or requirements for entering your facility.

Request Information

Audience Type(Required)

School Staff/Law Enforcement

Students/Adolescents

Community Members/Parents

Student Grade Level

Early Elementary

Upper Elementary

Middle/Junior High

High

Please select the grade level for student participants. You may make more than one select if needed.

Preferred Language?(Required)

If you need a presentation in English and Spanish, they must be two separate requests.

In-person or virtual?(Required)

Please indicate if you would like an in-person presentation or a virtual presentation.

Expected # of Participants(Required)

# of Presentations Requested(Required)

Please enter a number from 1 to 6.

Specify the number of presentation for this date. This could be more than on in the case of a school that is requesting a presentation for five different class periods.

Date Requested(Required)

Alternate Date(Required)

What time will the first presentation begin?(Required)

:

Our team will arrive at least 20 minutes prior to start time.

Schedule(Required)

Please provide the schedule with start and end times that you would like our team to present. Also, please note if you are not in the Central Time Zone

Audio/Visual Equipment

We utilize PowerPoint and videos during our presentations. If you do not have AV equipment, please specify below.

Does your site have audio/visual equipment?(Required)

Yes

No

Unsure

Available audio/visual equipment

Please list any audio/visual equipment that is available at the location the presentation will take place. Projector/screen, microphone, access to electrical outlet, etc.

Topic Requested

Community Topics

Parent Topics

Students/Adolescents Topics

Educator/School Law Enforcement Topics