Community Outreach Request

The goal of CPD’s outreach efforts is to foster greater safety communications and personal awareness while building upon relationships within our community. Police staff present on a variety of crime prevention topics, including personal safety, anti-bullying, residential security, business security, neighborhood safety, retail theft prevention, law enforcement procedures, and many more.

To make a request for an officer or other member of our staff to participate in an upcoming outreach event, please complete the request form below.

Please Note: We do our best to accommodate as many requests as we can. Due to the large number of inquiries received and the varying schedules of our officers, we respectfully request that you allow staff 14 business days to complete your request. Events occurring within this time period will be considered on a case-by-case basis.

Community Outreach Request Form

Name of Organization/Group*
Organization's Address*
Street Address Address Line 2 City State ZIP Code
Point of Contact*
First Last
Phone Number*
(Please provide a mobile number, in case our presenter needs to reach someone on the day of the event.)
Email Address*
Topic or Event*
Event Date*
Please provide the specific date(s) you're requesting assistance with, or a general request if flexible (i.e. a Monday night in January).
Start Time*

Hours :

Minutes

AM/PM
End Time*

Hours :

Minutes

AM/PM
Event Location
If the event location is the same as the organization's address, skip this section.

Street Address Address Line 2 City State ZIP Code
Target Audience*
- Adults
- Youth
Ages of Youth
Expected Number of Participants (*Whole numbers only - NO dashes)*
What role would Champaign Police play at your event?*
Upload a flyer or brochure of your event
Max. file size: 50 MB.
Website
*If available, please provide a website address which provides more information about your event.
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Community Outreach Request

Community Outreach Request Form

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