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University of New Mexico Police and Security

University of New Mexico Police and Security

 

University of New Mexico
Police Community Relations Request Form

For assistance with this form, or for more information about UNM Police Services, please visit our website at http://police.unm.edu or contact Commander James Madrid 277-0231.


REQUESTOR INFORMATION
(Type your name as it should appear on
certificates of completion)
First Name: *

Last Name: *

Department / Business:

Address 1: *

Address 2:

City: *

State: *
  Zip code: *

CONTACT INFORMATION
Phone Number: (###-###-#### - ext) *

Mobile Phone: (###-###-####)

E-mail: *


 

 

INFORMATION REGARDING REQUEST

Date Begin:
 
  Begin Time:

End Date:

  End Time:

Estimated Attendance


Name of Event


Have you held or sponsored this presentation before?
Yes   No

If so, when? 

Please tell us what topics you would like us to cover: (Include special instructions, etc.):


Attachment 1 (if available)

Attachment 2 (if available)

Attachment 3 (if available)

 

All request information is considered strictly confidential.
You will be contacted regarding whether your request is approved or denied.