CRIME PREVENTION PROGRAM REQUEST

This form is for a request only. The date of the program is not final until you have received confirmation from the Department of Public Safety. For further information, please email our Crime Prevention Officer.

**Please Note: The location of the meeting must be reserved through proper University channels and confirmed prior to submitting this request.

Department, Organization or Group Requesting a Program:

Type of Event:

Specific Topic:

Contact Name: *

Status:

Email: *

Phone Number: *

Location of Event: *

Date of Event:

Event Start Time:

Event End Time:

Estimated Number of Participants:

Additional Information:

Emergency

610-519-4444

Non-Emergency

610-519-5800

We are located at Garey Hall at the intersection of Spring Mill Road and County Line Road

Text: NovaPubSafe to 444-999 to download our V-Card

CRIME PREVENTION PROGRAM REQUEST

PUBLIC SAFETY DEPARTMENT

Nova Safe Uses and Benefits