Agency Name Division / Unit Name First Name Last Name Rank / Title Email Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Select Area(s) of Consulting Interest: (Check all that apply) Gang Unit Strategy & Deployment Crimes Against Children / Detective Workflow Professional Standards & Internal Affairs Mental Health Response & Co-Responder Models Promotions & Selections Systems Other Briefly describe the issue, challenge, or goal your agency would like addressed: What is your desired outcome from our consulting engagement? Has your agency previously attempted to address this issue internally or through another consultant? Yes No Approximate Number of Sworn Officers: Which best describes your agency type? Municipal Police Department County Sheriff's Office State Agency Tribal Agency Federal Agency Other Preferred timeline for service delivery or review: Immediate (0–30 days) Short-Term (1–3 months) Mid-Term (3–6 months) Long-Term (6+ months) Undecided – need consultation Would you like a Non-Disclosure Agreement (NDA) sent before proceeding? Yes, please send an NDA No, not required at this time Additional Notes for the team Thank you!