The Law and Your Community Form

First Name

Last Name

Phone

Name of Host Organization(s)

Event Title

Briefly describe the purpose of the event

Event Date

Event Time

City

US States

Presentation Planning and Site Logistics

The audience for this presentation will be: (check all that apply)

Youth ages 13-18 College-aged students Adults (age 25+) Other

Total number of attendees expected for the presentation:

1-25 26-50 51-100 Over 100

NOBLE will provide the session link to the event host. The host will need to have the follow equipment to assist.

Laptop Microphone and speakers Camera WiFi

Will this event be open to the media?

Yes No

What law enforcement agencies serve the area where the presentation will take place?

Names and titles of special guests or dignitaries who will be attending the presentation:

How did you hear about NOBLE's The Law and Your Community program?

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