Outreach Request Form

Community Outreach Services Request

Complete the following information to request a community outreach program at your location. If you are requesting more than one program, provide the additional information in the comments section.

Program Name
Location
Date Needed
Time Needed
Person Requesting
Position
Contact Number
Type Audience	Student Staff Parent Public
Est. Attendance
Comments


Problems? Contact:	Corporal John McPhillips 936-539-0585

**Warning- clicking the submit button will automatically send this request to the CISD Police scheduling supervisor. Please carefully check your data before submitting.
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