Congress Heights Safe Passage Interest Form
Please fill this form out to sign up and learn more about supporting Safe Passage in the Congress Heights area for student safety!
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Email *
Be A Safe Passage Leader in Congress Heights!
First Name *
Last Name *
Days and Times of Availability
Please mark the number of days you are available to support Congress Heights Area Safe Passage Efforts
Mondays 3-5pm
Tuesdays 3-5pm
Wednesday 3-5pm
Thursdays 3-5pm
Fridays 3-5pm
Please contact me about morning opportunities
I am available 5 days a week from 3-5pm
Row 1
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Locations of Priority you Prefer
First Preference
Second Preference
Third Preference
Fourth Preference
Fifth Preference
W4 Bus Stop @ Randle and Alabama Ave.
W1 Bus Stop @ Randle and Alabama Ave.
W1 Bus Stop on on 4th St. (south bound)
W1 Bus Stop on 4th St. (north bound)
3100 Block of Martin Luther King Ave
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What do We need to know about YOU as we work together? *
How can we best contact you for training and orientation? *
What days are you available for training? *
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