Contact Details

Group Type(Required)

Please let us know what type of organization you are.

School Group

Community Group

Name of School or Group(Required)

School District

Name(Required)

Who is our point of contact leading up to this presentation?

First Last

Email(Required)

Enter Email Confirm Email

Phone(Required)

Address(Required)

Where are we presenting?

Street Address Room # City State ZIP Code

Parking/Building Instructions

Is there anything we need to know about parking and/or accessing your location?

Participant Info

Audience(Required)

Tell us about who will be attending this presentation.

Grade Range

What is the grade range of the majority of the students in this audience?

Other Grade Range

Please tell us more about the grade range of the student audience.

How many participants should we expect?(Required)

How many presentations would you like?(Required)

Tell us more about the schedule we can expect.

What time will each presentation start? Will our presenter have a break between presentations?

Presentation Topics

Please note that our presentations are generally 30-45 minutes in length.

Student/Adolescent Topics

Active Shooter (Grades 6-12)

Animal Safety Awareness (Grades PK-5)

Be Nice. (Mental Health Awareness) (Grades PK-12)

Bullying Prevention (Grades PK-12)

Cyber Safety Awareness (Grades PK-12)

Dating Safety & Sexual Misconduct Awareness (Grades 6-12)

Fentanyl Awareness (Grades 6-12)

Human Trafficking Awareness (Grades 6-12)

Juvenile Laws Awareness (Grades 6-12)

Prom Safety Awareness (Grades 9-12)

Situational Awareness (Grades 6-12)

Social Media & Mental Health Awareness

Substance Use Prevention (Grades 3-12)

Tip Line Awareness (Grades 6-12)

Vaping Awareness (Grades 6-12)

Community/Parent Topics

Active Shooter Awareness

Animal Cruelty Prevention

Bullying Prevention

Child Abuse Prevention

City & County Civics

College Safety Awareness

Crime Statistics Awareness

Crime Stoppers 101

Domestic Violence Prevention

Elder Abuse Prevention

Fentanyl Awareness

Financial Crimes Prevention

Gaming Safety Awareness

Home Security & Situational Awareness

Human Trafficking Awareness

Mental Health Awareness

Online Solicitation Prevention

Seasonal Safety Awareness

Social Media & Mental Health Awareness

Substance Use Prevention

Teen Dating Violence & Sexual Misconduct Prevention

Tip Line Awareness

Educator/School Staff/School Law Enforcement Topics

Active Shooter

Be Nice. (Mental Health Awareness)

Bullying Prevention

Child Abuse Prevention: Recognizing & Reporting

Cyber Safety Awareness

Dating Safety & Sexual Misconduct Awareness

Fentanyl Awareness

Gaming Safety Awareness

Hate & Harassment Awareness

Human Trafficking Awareness

Online Solicitation Prevention

Substance Use Prevention

Substance Abuse Prevention

Tip Line Awareness

Vaping Awareness

Request Information

Do you want an in person or virtual presentation?(Required)

Language Preference(Required)

What is your first choice of dates?(Required)

MM slash DD slash YYYY

What is your second choice of dates?(Required)

MM slash DD slash YYYY

What time do we need to be there?(Required)

Hours

Minutes

AM/PM

Are you in the Central Time Zone?(Required)

Yes

What Time Zone are you in?

Time Requirement

We have quite a bit of information to share and need 30-45 minutes to give your participants the best presentation possible. By checking this box you are letting us know that you understand.

I agree that the Crime Stoppers team will have enough time to cover their material.

Audio Visual Equipment

Does your location have audio visual equipment or access?(Required)

No stress if you don't have equipment, we can bring ours!

What kind of equipment will be available to our team?

Tell us about the equipment you have. Projector/screen, microphone, access to electrical outlet, etc.

Media Release

Promotional Pictures/Videos(Required)

In accordance with parental media releases currently on file, Crime Stoppers has permission to take pictures and/or video for promotional purposes. A member of school staff will advise Crime Stoppers of which students may not be photographed.

Media Release Additional Info

We understand that privacy is important. Please let us know if your group has any concerns or restrictions regarding photo or video permissions.

You are almost done!

When you hit this submit button, we will get your request and get back with you ASAP!

Name

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