Grant Application

1

What type of entity are you?* This field is required.For us to serve you best, please tell us what type of school system you are.

Police

Sheriff

State Law Enforcement

School / School District

College / University

Public Safety

Corporate / Event Security

Military / Federal

Private School / Charter School

Other

2

{whatType} Legal Name* This field is required.What is the name of your entity

3

Where is {whattypeLegal} located?* This field is required.Your location will help us provide references and let us know where our potential partners come from.

4

Contact Name* This field is required.

First Name

Last Name

5

How would you like us to contact you with responses to our grant requests?We will check Federal, State and Local grant opportunities. If there are none available, we will reach out to large organizations in your hometown. In many cases, large retailers, corporations and even small businesses in an area will see the benefit of the app and contribute to the subscription. *If you give us your email, you will get a copy of this application sent to you.

Phone

Email

Both / Either

6

Email for {contactName}

example@example.com

7

Phone Number for {contactName}

Area Code

Phone Number

8

Please list any local large retailers, corporations and/or active community members you believe would be interested in sponsoring your {whatType}'s subscription to the See Something, Send Something appUse one line per name, use the + on the right to add more lines for more names.

9

How does {whattypeLegal} currently collect tips from the public?* This field is required.We would like to hear how you are currently getting tip information from students.

Hotline, Toll Free or 800 number

Crimestoppers or other Non Profit Organization

Website Form Submission or Tip@ type email address

Document Completion, Lobby Form, Collection Box

Tip App

Other

10

Current Tip Submission App Name used by {whattypeLegal}

12

What would you estimate the yearly cost is for a community smart device app that collects and manages tips?* This field is required.Including unlimited users, all features, unlimited tips, joint marketing campaign, support and maintenance.

13

What is the population of {whereIs}?* This field is required.We would like to know approximately how many residents would interact with the app.

14

{contactName}, have you previously heard of or used the See Something, Send Something app?* This field is required.We are in 18 states, more than 250 law enforcement agencies, 100 school districts and roughly 250 schools. We have almost a half million users. We are hoping you say yes!

YESNO

15

You said YES!...tell us what you've heard about our See Something, Send Something app* This field is required.We love feedback and will do our best to continue our positive reputation.

16

{contactName}, which smart device do you use personally?* This field is required.Our app is in the Apple App Store and the Android / Google Play Marketplace

Apple

Android

17

Apple / App Store QR Download - open your camera and point it toward this QR

18

Android / Google Play Marketplace QR Download - open your camera and point it toward this QR code.

19

What features, technology and system requirements are important to {whattypeLegal}?Do you have input, ideas or suggested features? We would love to hear them and we will make sure we discuss them in our demo.

20

Do we need to customize the See Something, Send Something app to {whattypeLegal} (such as changing the name, branding, etc)?* This field is required.

Yes

No

Maybe / Not Sure

21

{whattypeLegal} DEMO: Date and Time availableGive us a date and time to call or set up an online or in person demo. We can always reschedule if needed.

22

{contactName}, please verify that you are human* This field is required.This helps us from getting a bunch of spam!

23

BEFORE YOU SUBMIT: Please take a second and watch our explainer video. It tells how we help the community connect with law enforcement and gather tip data.

24

Form Submitters Estimated Cost Per Capita / Per Year

25

Form Submitters Estimated Cost Per Capita / Per Month