Request a Speaker or Safety Training

2. Thank you for your interest in having a member of the Roanoke Police Department present to your organization. Community engagement with our residents and local civic groups is an important part of our mission and core values.

   Please complete the request form below to request a presentation speaker or public safety training from the Roanoke Police Department. Someone will be in touch with you to confirm the details of your request. Please keep in mind that presenters are available as staffing allows.

   **Please note that this form is solely to request public safety training or a speaker from the department for community presentations. To hire off duty police officers at your event or business please see our Off-Duty page here.**

4. Request 

6. Request Type*

   1. Presentation Speaker
   2. Public Safety Training
   3. Honor Guard
8. Speaker Type

   1. Chief of Police
   2. Deputy Chief of Police
   3. Police Officer
   4. Criminal Investigator
   5. K-9 Officer
   6. Traffic Officer
   7. Academy Recruiter
   8. Other
10. Other Speaker Type

    Please describe the type of speaker you are requesting.

12. Requested Training Type

    1. Active Shooter
    2. Self Defense
    3. Traffic Safety
    4. Crime Prevention
    5. Other
14. Other Training Type

    Please describe the type of training you are requesting.

18. Organization

20. Organization Name*
21. Website
23. Street Address*
25. City*
26. State*
27. Zip Code*
29. Phone Number
30. Fax Number

34. Contact 

36. First Name*
37. Last Name*
39. Phone Number*
41. Email Address*
43. Fax

47. Event

49. Event Description*
51. Event Date and Time*
    Event Date and Time

    Event Date and Time

    Note: Please allow at least 6 weeks from your request until the event date. Submission of this form does not guarantee commitment and is dependent upon department resources and staffing.

53. Event Address*
55. City*
56. State*
57. Zip Code
59. Number of expected attendees*
61. Audience Type*

    1. Children
    2. Teenagers/Young Adults
    3. Adults
    4. Seniors
    5. Other
63. Other Audience Type

    Please describe

65. Any Additional Information or Instructions
Leave This Blank:


67. Submit Submit and Print

* indicates a required field