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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?

The City of Charlotte is committed to making our services and programs accessible to all. Upon request, auxiliary aids, written materials in alternative formats, language access and other reasonable accommodations or modifications will be provided. To make a request, please email CrimePreventionUnit@cmpd.org.