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   Coon Rapids Police are passionate about public education and crime prevention. Complete this interest form to request a PEP Talk about a topic of your choice. A community outreach officer will then contact you to schedule a visit from a member of the police department at your residence, business or community organization.

   Most PEP Talks are about an hour long and will be tailored to your group.

5. First Name:*
6. Last Name:*
8. Name of Organization (if applicable):
10. Phone Number:*
11. Email:
13. Location of Visit:*

    Please include the street address where you would like the PEP Talk to occur.

15. Preferred Date of Visit:

    If you have a specific event date, or preferred days/times that are most convenient for your group, please indicate your preferences here.     *Please note: Completing this form does not constitute a confirmed date. The police department will contact you directly to make an appointment.

17. Brief Description of Event or Gathering (or other notes for staff):
19. Available PEP Talk Options:

    Please select all topics of interest to your group.

21. 1. Heart Safe CPR Instruction

    This PEP Talk will introduce you to lifesaving CPR and defibrillator training to use in emergency situations. You will learn how to operate an AED and important steps to take while waiting for emergency responders to arrive.

22. 1. Scams

    This class will teach people of all ages about common scams that are reported in our city. We teach about the scams, and steps you can take to protect yourself and others.

24. 1. Workplace Violence Training

    This training session will teach participants the concept of run, hide, fight during an active shooter incident or other violent situation.

25. 1. Premise Survey

    Our police officers will inspect your home and learn about your household routines. We can identify what might make your home an easy target and offer suggestions to make the property more secure against burglars and vandals.

27. 1. Responsible Beverage Service Training

    This class is designed for liquor license holders. Police will provide important instruction on proper ID checking and strategies to prevent overserving patrons.

28. 1. Officer Visit

    Request an officer to come to your location. Officers can speak generally about many public safety topics or simply come to just say hi!

30. Government Data Practices Act - Tennessen Warning:*

    Click the box to acknowledge that the data you supply on this form will be used to process this application. You are not legally required to provide this data, but the City will be unable to proceed without it. The data will constitute a public record.

    1. I acknowledge the Government Data Practices Act - Tennessen Warning.
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32. Submit

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