Cyber Crimes Presentation Request Form - Bergen County Prosecutor's Office

Please Select a Presentation:

Please Select a Grade Level:

*Please note, we only offer one presentation to one grade per school.

Organization Name (Primary):

Address of Presentation:

City

State/Province

Zip/Postal

Date of Presentation:

Time of Presentation:

Approximate Attendance:

Your Name:

First

Last

Your Title / Position:

Preferred Phone Number:

Preferred Email Address:

Please let us know of any recent or related issues that have impacted your community such as Internet luring, cyber bullying, sexting, etc.

As the requesting organization, I hereby submit this form indicating our interest in hosting a presentation. I acknowledge that this information will then be distributed to the Speakers Bureau of the Cyber Crimes Unit. If the Cyber Crimes Unit can accommodate my request, I will be notified at the contact information provided. A mutually agreeable date and time will then be confirmed.

Acceptance of Terms:

I agree to the above terms.

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

Cyber Crimes Presentation Request

ABOUT

COMMUNITY

INITIATIVES

MEDIA

PROGRAMS

CONTACT