Skip to form

City of Charlotte

corporatecommunications1@ci.charlotte.nc.us

600 East Fourth Street, , Charlotte, NC, 28202, US

704-336-7600

CMPD Active Survival Training Request Form

NOTE: To have this form translated into another language, right click the form and select the langauge needed

Applicant Information

Full Address of Event Location

Type of Organization


Event Information

Number of Attendees

Has this location hosted a presentation before?

Do you have a projector or large TV for this presentation?

Does your projector/TV have an HDMI or VGA connection?

Do you have equipment to amplify sound?

Do you need a Spanish Officer to conduct your training?