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First Name
First Name

Last Name

Job Title

Agency/Department Name

Street Address

City

State

ZIP Code

Office Phone Number

Cell Phone Number

E-mail Address

Additional presenters? Please enter their full name(s), job title and agency/department below.

Supervisor's Contact Information

VCAN collects your supervisor's information in order to thank them for your contributions in providing valuable training to our members. If you prefer that we not contact your supervisor to acknowledge your efforts, leave the section below blank.

Supervisor's First Name
First Name

Last Name

Job Title

Agency/Department Name

Office Phone Number

E-mail Address

Presentation Information

Will this be an in-person presentation or via webinar?

In-person

Webinar

Will you need a computer lab or lecture classroom?

Lab

Lecture

Either

Presentation Title

Presentation Abstract (100 words or less)

Tell us about your technical needs...

Do you need a laptop?

YES

NO

Do you need a presentation clicker?

YES

NO

Do you need internet connectivity?

YES

NO

Do you need sound capability?

YES

NO

Do you need a microphone headset for VoIP (voice over IP)?

YES

NO

Do you consent to the webinar being recorded for playback by VCAN members?

YES

NO

Do you need something else (please list)?

Is this presentation law enforment sensitive?

YES

NO

Will you provide a sanitized version of your presentation materials to be posted in the members-only area of VCAN's website?

YES

NO

Please attach any files you would like VCAN to distribute to participants prior to your presentation (agenda, syllabus, sample data, product examples, etc.). Only PDF, Word, Excel and JPG file types will be accepted. The total size of all files must not exceed 20MB.

doc docx pdf txt xls xlsx jpg jpeg

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VCAN brings together more than 200 members representing over 60 police departments and sheriff's offices across Virginia. Our membership also includes students, academic professionals and private sector professionals who support sworn law enforcement.

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