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DPSS - Programs & Training
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Thank you for visiting the DPSS request form. Please provide the information outlined below.
Preferred Method of Contact
Email
Phone
What timeframe is best to contact for follow up?
Morning (7a-11a)
Afternoon (12p-5p)
Evening (6p-10p)
Midnights (11p-6a)
Requested Presentation
Stop the Bleed
Empowerment Self-Defense Workshop
Responding to an Active Attacker
See Something, Say Something
Start by Believing - Responding to Sexual Assault
Workplace/Classroom Violence & Dealing with Difficult People
College Campus Scams
Early Intervention and Personal Safety Strategies
Situational Awareness
Summer Camp Orientation
Alcohol Harm Reduction
Who is the target audience?
Student
Faculty/Staff
Alumnus
Non-Affiliate
Desired Date & Time First Choice
(mm/dd/yyyy hh:mm AM/PM)
Our staff will confirm the date and time with you
Desired Date & Time Second Choice
(mm/dd/yyyy hh:mm AM/PM)
Estimated Number of Attendees
How would you like the presentation delivered?
In-Person
Zoom
Hybrid
Location of the Presentation
Questions or other information for this request?
Do you have questions, concerns, or other information associated with this presentation request that would be beneficial for the presenter to know before hand?
Other Fields
Your name
Your first name
Your last name
Your email address
Your phone number
Verification Code