*Required fields

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Requestor Information

Name *

Email *

Phone *

Type of Security *

Off-Duty Law Enforcement Officer - (Average of $76/hour, 3 hour minimum)Security Guard - ($17-$25/hour, 4 hour minimum)Unsure

Number of Off-Duty LEOs

Please Select 1 2 3 4 5 6 7 8 9 10+

Number of Security Guards Requested

Please Select 1 2 3 4 5 6 7 8 9 10+

Event Information

Event Name *

Type of Event *

Greek HouseSocial GatheringBuilding Maintenance/RepairOther

Event Date *

Event Location *

Address *

Event Report Time *

Event End Time *

Multi-day *

YesNo

Does this event end on a different date?

If yes, enter below

Are there additional dates/times that you need personnel? *

YesNo

If yes, enter below

Is alcohol being served? *

YesNo

Is there a guest list? *

YesNo

Job Duties *

Do you have any other concerns?

Is the point-of-contact the same as the requestor? *

YesNo

If no, please enter a point-of-contact below:

Billing/Payment Method *

Account & FundCheck