Tulsa Police Department
Public Education
Program Request
Due to buget cuts not all request will be filled. Please submit your request
below and within seven days you will receive an email letting you
know if it will be filled and by who. Thank you.

When will the program take place?         Do Not Use Colons ( : ) in the time block.

 Mo  Day  Year Day of Week  Time  AM/PM
Name of Group
Type of Program Expected Attendance Age of Audience
 Location Name Location Address City
Contact Person Best Time to Contact
Residence Phone Work Phone Email Address
( ) ( )
Comments
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