Online Speaker Request

Overland Park

Kansas

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City of Overland Park - www.opkansas.org

Online Police Guest Speaker Request

Contact Information
Group/Organization:
Contact Person:
Phone Number:
Alternate Phone Number:
E-mail:
Meeting/Event Information
Title of Event:
Date:
Time	a.m. p.m.
Location:
Room:
Estimated Attendance:
A/V Equipment Available:	Computer Electronic Projector VCR Player DVD Player Dry Erase Board Other:
Preferred Speaker Topics (please select no more than two)
Neighborhood/Residential:	Retail/Commercial:
Residential Security Survey Neighborhood Watch Children Safety "Stranger Danger" Identity Theft/Fraud Prevention Pre-school "Officer Friendly" Bicycle Safety Personal Safety Continual Speeding Vehicles McGruff House Program Other, Explain:	Commercial Security Survey Security Awareness Workplace Violence Identity Theft/Fraud Prevention Robbery Survival and Mitigation Theft Prevention Road Rage Other, Explain:
Additional Comments or Supporting Information:

I have read the Police Department’s speaker request guidelines and understand that our request falls within the guidelines: Yes No, our request does not meet the guidelines. Explain: