CopTech Forum Application to Attend

If your department has more than 60 sworn officers and you are the person who directs technology purchases, we invite you to apply to attend CopTech Forum.

Email Address
Please retype Email
Your Rank (if applicable)
First Name
Last Name
Your Title (if applicable)
Dept./Agency
Address
City
State (Two Letters)
Zip / Postal
Phone Number
Cell
Emergency Contact Person AND Phone Number:
DEPARTMENT INFORMATION
Number of Sworn Officers
Population Served (Approximate. Please use only numbers, no words: e.g. 5,000,000)	Please use numbers only, no words.
Annual Budget (Approximate. Please use only numbers, no words: e.g. 5,000,000)	Please use numbers only, no words.
PROCUREMENT PLANS In the next 24 months, do you expect your police agency to purchase any of these:
Video for In-Car, Mobile, or On-Officer use?		Yes, within the next 12 months Yes, within the next 24 months No Maybe
Who will select your Video Equipment purchases?		I am the final decision-maker I recommend directly to the decision-maker Other
License Plate Readers		Yes, within the next 12 months Yes, within the next 24 months No Maybe
Who will select your License Plate Readers?		I am the final decision-maker I recommend to the decision-maker Other
Computer-Aided Dispatch Systems and Software		Yes, within the next 12 months Yes, within the next 24 months No Maybe
Who will select your CAD purchases?		I am the final decision-maker I recommend directly to the decision-maker Other
Records Management Systems and Software?		Yes, within the next 12 months Yes, within the next 24 months No Maybe
Who will select your Records Management purchases?		I am the final decision-maker I recommend directly to the decision-maker Other
Communications Equipment and Systems (Purchases over $10,000)		Yes, within the next 12 months Yes, within the next 24 months No Maybe
Who will select your Communications purchases?		I am the final decision-maker I recommend directly to the decision-maker Other
Laptop Computers (More than 10 units)?		Yes, within the next 12 months Yes, within the next 24 months No Maybe
Who will select your Laptop Computer purchases?		I am the final decision-maker I recommend directly to the decision-maker Other
911 Systems or System Upgrades		Yes, within the next 12 months Yes, within the next 24 months No Maybe
Who will select your 911 system purchases?		I am the final decision-maker I recommend directly to the decision-maker Other
Other Police Technology you'd like to acquire? (Please describe)
How will your agency fund technology purchases you expect to make? Please describe if you have budget allocated, grants applied for, or other funding sources you have or expect to have in place.
Are there particular topics you would like to see addressed at CopTech?
Are there any technology suppliers you would like to nominate to present at CopTech?
Session Attendance		Yes, I understand attendance at all sessions is required No
Please give us a short personal bio (75 words or less)
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ADMIN: Date Confirmed
ADMIN: Notes
ADMIN: Confirmed		Confirmed YES Confirmed NO Haven't heard from