CyberPatriot Material Request Form
Please indicate the quantity of each item listed you would like to request (Note: CyberPatriot has a limited printing budget. To prevent over-ordering, please consider the size of your target audience before submitting your request.)
Requestor Information
Name
Your answer
Organization Name (if applicable)
Ex: AFA Chapter, School, Club, etc
Your answer
Street Address
(No PO Boxes - must be street address)
Your answer
Street Address Line 2
Your answer
City
Your answer
State
Your answer
Postal Code
Your answer
Phone Number
Your answer
Email Address
Your answer
Event Information
Name of Event
(Orientation, Open House, General Recruitment, etc.)
Your answer
Estimated # of Attendees
Your answer
Material Needed By
Latest possible delivery date
MM
/
DD
/
YYYY
Informational Materials
If needed, additional copies can be printed directly from http://www.uscyberpatriot.org/get-involved/recruit-and-promote
CyberPatriot: How it Works
Explanation of how the national youth cyber defense competition works
Your answer
CyberPatriot Volunteer Program
for recruiting local community members as CyberPatriot volunteers
Your answer
CyberPatriot in Schools
overview of different CyberPatriot programs available to schools
Your answer
CyberPatriot Talking Points
outline for brief elevator speech about program
Your answer
Tri-Fold Brochure
Your answer
CyberPatriot IX Video
DVD
Your answer
Promotional Items
We have a limited number of giveaways and leftover inventory from past seasons. If you would like to request any of these items please fill out the following section.
Check off the following items you would like to receive
the CP Program Office will determine quantities based on # of attendees and available inventory
Special Requests
If you have any special requests, please explain in the space below
Your answer
Questions or Comments?
Please contact info@uscyberpatriot.org or call 877-885-5716
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms