Crime Stoppers Presentation Request

Outside 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

Point of contact for our staff

First Last

Phone(Required)

Email(Required)

Address(Required)

Address where our staff will be presenting.

Street Address City State ZIP Code

Notes/Parking & Building Instructions

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

Request Information

Please read the statement below(Required)

I understand and agree

I agree that Crime Stoppers staff will have at least 30-45 minutes to cover their material adequately.
I understand that Crime Stoppers presentations are in high demand and if my date changes, they may not have availability. Therefore, I will only request dates that I know will work for my group.

Audience Type(Required)

School Staff/Law Enforcement

Students/Adolescents

Community Members/Parents

Do you need a Spanish speaking presenter?(Required)

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

Would you like an in-person or virtual presentation?(Required)

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 should our team arrive?(Required)

:

Schedule

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

Equipment

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

Yes

No

Unsure

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

Parent Outside Harris County

Students/Adolescents Outside Harris County

Educator Outside Harris County

Media Policy(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.

I agree to this media policy.