SPD Speaker Request Form

Salisbury Police Department Speaker Request Form
Thank you for your interest in having a member of the Salisbury 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 speaker. 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.
Speaker Requested

Chief of PoliceDeputy ChiefYouth Crime Prevention OfficerK-9 OfficerTraffic TeamCrime Scene InvestigatorMcGruff the Crime Dog
Full Name*

PrefixFirst NameLast Name
Organization Name*
Organization Type

BusinessCivicCharitySchoolChurch
Organization Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
Phone Number*

Area CodePhone Number
Event Date / Time

MonthDayYearHourMinutesAM/PM Option
Description of Event
Event Location

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Number of expected attendees
Audience Type

ChildrenAdultsYoung adultsSeniorsOther
Topic or special Instructions for Speaker
Should be Empty:

Salisbury Police Department Speaker Request Form