ROC Strong Security Request
Please submit this form if requesting a security presence at an event. For resource planning purposes, please submit this form at least 30 days in advance of the event. ROC Strong will review this request and respond within 5 business days.
Name of Requestor
*
First Name
Last Name
Organization Name
*
Event Name
*
Date
*
-
Month
-
Day
Year
Date
Start Time
*
Hour Minutes
AM
PM
AM/PM Option
End Time
*
Hour Minutes
AM
PM
AM/PM Option
Venue Name
*
Venue Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Special Guests
Number of Attendees Anticipated
*
Name of Contact Person for Event
*
Please explain security needs
*
Cell Phone of Contact Person for Event
*
Please enter a valid phone number.
Email of Contact Person for Event
*
example@example.com
Will Private Security be present at this event?
*
If yes, please provide security company name
*
How will security for this event be funded?
Our organization will fund it (from organization of through a donor)
We are requesting full funding from ROC Strong
We are requesting partial funding from ROC Strong
Other
If you are requesting funding from ROC Strong, how much are you requesting?
Is there anything else we need to know for the event? Special security needs of speaker or guests?
Submit
Should be Empty: