UIPD Presentation Request Form

UIPD Presentation Request Form

If you would like to have a member of the University of Illinois Police Department come and speak with your group, please complete the following form at least three weeks in advance of the scheduled program.  Completing this form does not guarantee that we will have an officer available to speak before your group.  Though we work to accommodate all requests, we are sometimes limited in our schedule. Once we receive the request, someone will be contacting you to confirm the details.

If you have specific questions about the programs, please refer to the University of Illinois Police Programs page.

Thank you for utilizing us in your programming.

answer must be date like mm/dd/yyyy

 

 

answer must be numeric

 

 

answer must be numeric

 

 

answer must be an email address

 

answer must be phone number with area code like 217-333-1000

 

 

required10. This program is planned for (check all that apply):

required10. This program is planned for (check all that apply):

required11. Type of presentation:

required11. Type of presentation:

 

required Include your email address in your submission to:

  • Get a copy of your answers