Active Shooter Training Presentation Request Form - Bergen County Prosecutor's Office

Type of School: *

Presentation Type: *

School Name: *

Town(s) your School Services: *

Date and Time of Event: *

Date

Time

Address of Presentation: *

Address Line 1

Address Line 2

City

State

Zip Code

Approximate Attendance: *

Your Name: *

First

Last

Your Title / Position: *

Your Contact Number: *

Your Email: *

Email

Confirm Email

Message / Comments:

As the requesting organization, I hereby submit this form indicating our interest in hosting a presentation/training. I acknowledge that this information will then be distributed to the appropriate BCPO personnel. If the trainers can accommodate my request, I will be notified at the contact information provided. A mutually agreeable date and time will then be confirmed. *

I agree to the above terms.

Please also note that the local police chief(s) in the town(s) served by your school district will be notified of the presentation and invited to attend.

Upon completion of this form, press submit, which verifies your understanding, agreement, and compliance with all guidelines established herein.

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