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Neighborhood Watch Interest Form

2. SKOKIE POLICE DEPARTMENT
   Emergency 9-1-1 Non-Emergency 847/982-5900 Email: crime.prevention@skokie.org Crime Tip Hotline: 847/933-TIPS(8477) Text-a-Tip: text "Skokie" and your tip to 847411
3. 
5. What is neighborhood watch?
   The Skokie Police Department Neighborhood Watch Program is seeking volunteers to serve as the lead contact on their block for crime prevention efforts coordinated by the Skokie Police Crime Prevention Unit. Together we can increase safety by reducing the opportunity or crime in your area, but we need your help! Please contact the crime prevention unit at 847/982-5919 or 847/982-5922.
7. Date:*
8. Time:*
9. Beat #:*
11. Resident Name:*
13. Address:*
14. Phone:*
16. Email:*
18. Are you willing to organize the neighbors on your street and host a start-up meeting to discuss the program and its benefits?*

    1. Yes
    2. No, I cannot host a meeting (Meetings can be hosted at SPD if needed)
    3. I need more information. Please have the neighborhood watch coordinator contact me
20. Do you know any other Skokie resident that may be interested in serving as a neighborhood watch block captain?
22. Resident Name:
24. Address:
25. Phone Number:
27. Email:
29. For Office Use Only:
31. Officer:
32. STAR/Employee #:
34. Supervisor:
35. STAR/Employee #:
Leave This Blank:


37. 1. Receive an email copy of this form.
38. Email address

    This field is not part of the form submission.

39. Submit Submit and Print

* indicates a required field