Intake Form Name of Agency: * Agency Profile Date form completed: Completed by: Please select oneAmada BondLuther TyusAdriana Volpe Number sworn: Number sworn + civilians Geography: Population: Type of agency: Please select oneLocal Police DepartmentState PoliceSheriff's OfficeTribal PoliceCampus PoliceDOCNon-LEOther If agency has a training budget, are they interested in our fee-for-service training? Yes No Does the agency have a required bias training? If so, is the instructor internal or external? Agency’s website: Unique characteristics about the agency: Please provide details about any unique agency characteristics (e.g., a community engagement academy, specialized units, citizen review board, etc.). Has there been a bias-related incident in the last year? Yes No Unsure Please provide some additional information: News scan: Please include any relevant news events that may impact the training environment and/or the receptivity of the trainees. This can include line of duty deaths, officer suicides, officer-involved shootings, etc. If you are human, leave this field blank. Submit
