Page 1 of 3

Staffing Request Intake Form

This form is used by businesses, organizations, and event organizers to request placement facilitation and professional introductions to licensed security providers. This request may be submitted by a business, organization, or individual acting as an event organizer.

Full Name (Primary Contact / Event Organizer)

*

Organization Name (if applicable)

*

Email (Primary Contact / Event Organizer)

Phone Number (Primary Contact / Event Organizer)

*

Type of Environment (for placement context only)

*

City/Region

*

Timeframe

*

Submission of this form does not create a service agreement or guarantee availability. Placement facilitation fees apply prior to any introductions.