Event and Presentation Request Form

Please enter the details of your event in which you want MCSS to participate.

 

For presentations on the Safe Schools Maryland anonymous reporting system, visit http://bit.ly/SSMDPresentationRequests *NOTE: MCSS requires all event/ presentation requests to be submitted here five business days prior to the event/ presentation date.

 

Contact Details

 

First and Last Name

 
 
 

Your Email ID

 

Your phone number

 

Details

 
 
 
 
mm/dd/yyyy
 
 
mm/dd/yyyy
 

Start Time: End Time :

 

Address where the event is hosted

 

Audience

 
 

Select all that apply

 

Point of Contact

 

Are you the point of contact for the event?

 
 
 
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