UCI Police | Presentation Request Form

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Housing Liaison Presentation Request Form

Use this form to request the UCIPD Housing Liaison program to set up a public presentation for your group on a number of topics.

Please make your request at least ONE WEEK prior to the desired presentation.

Type of Presentation:

Requesting Group:

Date:	Time:

Time Length:

Approximate group size:

After receiving your form by e-mail we will contact you by phone to confirm arrangements for the presentation. Please fill in the following so we can contact you:

Name:	Dept/Group:

Phone:

E-mail:	Time to Call:

Other comments with regard to your request:

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Housing Liaison Presentation Request Form

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