Community Security Services Request

Community Security Services Request

Use this form to request free security trainings, an on-site facility assessment or a review of your security plans or grant application. You can also upload security documents you already have. Please also give us up to three emergency alert contacts so urgent notices reach the right people. Your responses are encrypted, and all information and documents you share are kept confidential and used only for your organization’s security planning. Takes about 5–10 minutes.
Your Organization
Organization name
Facility address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Facility type
Please describe your facility
Emergency Alert Contacts
I send urgent security alerts through SCN Everbridge Alerts by text, phone call and email. Please list up to three people who can act on an alert. Backup contacts are important: if your primary contact is traveling, off for Shabbat or otherwise unavailable, an alert still reaches someone at your organization.
Primary contact name

First NameLast Name
Primary contact email
example@example.com
Primary contact cell phone
Please enter a valid phone number.Format: (000) 000-0000.
Would you like to add other contacts?
Backup contact 1 name

First NameLast Name
Backup contact 1 email
example@example.com
Backup contact 1 cell phone
Please enter a valid phone number.Format: (000) 000-0000.
Backup contact 2 name

First NameLast Name
Backup contact 2 email
example@example.com
Backup contact 2 cell phone
Please enter a valid phone number.Format: (000) 000-0000.
Consent
Facility Details
Do other organizations share or rent space in your building?
Please list the other organizations at this address
Approximate number of members, staff and students
Regular hours and main service or program times
Do you have a point of contact at your local police department or sheriff's station?
Law enforcement contact name

First NameLast Name
Agency
Contact phone or email
Has local law enforcement visited or walked through your facility in the past year?
Would you like help connecting with your local law enforcement agency?
Services You'd Like
Which services would you like?
Which other course(s)?
Who is the training for?
Who is the training for?
About how many people would attend?
Preferred days and times for training
Best days and times for an on-site assessment
Would you like us to follow up later?
Is there a reason now isn't a good time? (optional)
Documents You Already Have
If another agency or company has already assessed your facility or helped with your plans, please upload copies here. All uploads are optional.

Security plan: your facility's everyday security procedures, such as access control, staff roles and technology.
Emergency Operations Plan (EOP): how your organization manages an emergency, including leadership, communication and staff responsibilities.
Emergency Response Guide (ERG): a quick-reference guide for staff, often a flip chart or poster, with step-by-step actions for specific emergencies.
Continuity of Operations Plan (COOP): how you keep essential services running during and after an incident.
TVRA or vulnerability assessment

Cancelof
Date completed or last updated (TVRA)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Who performed this assessment? (agency, company or person)
Security plan

Cancelof
Date completed or last updated (security plan)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Emergency Operations Plan (EOP)

Cancelof
Date completed or last updated (EOP)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Emergency Response Guide (ERG)

Cancelof
Date completed or last updated (ERG)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Continuity of Operations Plan (COOP)

Cancelof
Date completed or last updated (COOP)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Floor plans or site maps

Cancelof
Date completed or last updated (floor plans)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Grants and Training History
Has your organization applied for the Nonprofit Security Grant Program (NSGP) or California State Nonprofit Security Grant Program (CSNSGP)?
Which grant cycle(s) or year(s)?
In the past 12 months, has anyone from your organization attended any of these trainings?
In the past 12 months, has anyone from your organization attended any of these trainings?
About when, and who provided the training?
Anything else we should know?
Should be Empty:

Community Security Services Request

Your Organization

Emergency Alert Contacts

Facility Details

Services You'd Like

Documents You Already Have

Grants and Training History