PhoneFlare Database Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Propose an addition or correction to the PhoneFlare Database, - if you are a representative from the institution itself, please mention this in the comments/explanation section

Is this an addition or correction? *

Type of Institution *

University

Private High School

Public Safety Department

Retirement Community

Other:

Name of Institution *

Email Prefix (example: @nyu.edu for New York University for all students) or some other email convention/ url to list of emails - if only geobound based leave blank

Status (Type of Dispatch Number) *

Emergency Dispatch

Non-Emergency Only

Administrative Only

Other:

Please Enter at least one of the following two ways to contact the institution:

We are equipped to do either (and if you support both please add both) but most institutions have a preferred method and most of the time that is by phone.

Emergency Phone Number (phone call)

Emergency Email

Street Address (of main building or safety dept either/or).

Links/Explanation/Comments showing above information is accurate *

Geobound

If you are not confident doing this our volunteers can estimate the 'jurisdiction' geoboundary (if one of the students with a verified institution email is inside these boundaries you will be contacted) but it would give the institution much more control (not to mention save us quite a bit of time and some guesswork) for you to enter these for us:

Tutorial: Go to google maps and at the northeast point of the rectangle, click. You should see two numbers separated by a comma - copy and paste these below. Repeat for the southwest coordinate of the rectangle.

NorthEast Coordinate: (example: 40.736676, -74.003377)

SouthWest Coordinate:

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms