• Home
• Departments
• Police
• Request Speaker

Required information.

If you are planning an event, please use this form to request a speaker from the Elon Police Department.

Edit Form

First Name*

Last Name*

Organization*

Phone*

Email*

Event Date

Time of Event* HH MM AM PM

Type of Event* Please identify the type of event. Organization Meeting i.e. Rotary Club, Kiwanis, Etc. Conference Small Group School Assembly (Elementary, Middle, High School)

Topic*

Type of Presentation*

Keynote Speaker

Panelist

Interactive

Location of Event

Street Address*

Address Line 2*

City*

State*

ZIP Code*

Please provide the location of the event.