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!
Email address *
Be A Safe Passage Leader in Congress Heights!
First Name *
Your answer
Last Name *
Your answer
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
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
What do We need to know about YOU as we work together? *
Your answer
How can we best contact you for training and orientation? *
Your answer
What days are you available for training? *
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