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Community Education Program Request Form | University Police & Public Safety
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fb-menu-link"><a href="http://dubois.psu.edu/Safety" class="sf-depth-3 sf-external">DuBois</a></li><li id="main-menu-link-contentc0579415-3388-48e4-9cf9-47e9c81aa71e" class="sf-depth-3 sf-no-children fb-menu-link"><a href="http://psbehrend.psu.edu/student-life/student-services/police" class="sf-depth-3 sf-external">Erie, The Behrend College</a></li><li id="main-menu-link-contentdacab388-35fc-4425-915c-fa4b8d3ab5fe" class="sf-depth-3 sf-no-children fb-menu-link"><a href="http://fayette.psu.edu/safety-and-security" class="sf-depth-3 sf-external">Fayette, The Eberly Campus</a></li><li id="main-menu-link-contentf66a8067-cd71-4ad1-b482-0c15c48ac354" class="sf-depth-3 sf-no-children fb-menu-link"><a href="https://greaterallegheny.psu.edu/university-police-public-safety" class="sf-depth-3 sf-external">Greater Allegheny</a></li><li id="main-menu-link-content3e054bdc-5cc1-43b9-8667-8ca17fd483a1" class="sf-depth-3 sf-no-children fb-menu-link"><a 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data-drupal-link-system-path="node/30131">Report an Issue or Make a Request</a> </li> <li class="menu-item"> <a href="/related-policies" data-drupal-link-system-path="node/30111">Related Policies</a> </li> </ul> </li> </ul> </li> <li class="menu-item menu-item--expanded"> <a href="/police" data-drupal-link-system-path="node/13837">My Police Station</a> <ul class="menu"> <li class="menu-item menu-item--expanded"> <a href="/police-university-park" data-drupal-link-system-path="node/368">University Park</a> <ul class="menu"> <li class="menu-item menu-item--expanded"> <a href="/about-police-university-park" data-drupal-link-system-path="node/369">About Police at University Park</a> <ul class="menu"> <li class="menu-item"> <a href="/faqs-police-university-park" data-drupal-link-system-path="node/306">FAQs Police at University Park</a> </li> <li class="menu-item"> <a href="/policies-regulations" data-drupal-link-system-path="node/303">Policies & Regulations</a> </li> <li class="menu-item"> <a href="/resources-0" data-drupal-link-system-path="node/304">Resources</a> </li> </ul> </li> <li class="menu-item menu-item--expanded"> <a href="/campus-safety" data-drupal-link-system-path="node/290">Campus Safety</a> <ul class="menu"> <li class="menu-item"> <a href="/bullying" data-drupal-link-system-path="node/293">Bullying</a> </li> <li class="menu-item"> <a href="/campus-safety-resources" data-drupal-link-system-path="node/298">Campus Safety Resources</a> </li> <li class="menu-item"> <a href="/domestic-violence" data-drupal-link-system-path="node/294">Domestic Violence</a> </li> <li class="menu-item"> <a href="/emergency-telephones" data-drupal-link-system-path="node/291">Emergency Telephones</a> </li> <li class="menu-item"> <a href="/policies" data-drupal-link-system-path="node/295">Policies</a> </li> <li class="menu-item"> <a href="/residence-hall-security" data-drupal-link-system-path="node/297">Residence Hall Security</a> </li> <li class="menu-item"> <a href="/training" 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menu-item--expanded"> <a href="/commonwealth-campuses-police-security" data-drupal-link-system-path="node/277">Commonwealth Campuses</a> <ul class="menu"> <li class="menu-item"> <a href="http://www.abington.psu.edu/security">Abington</a> </li> <li class="menu-item"> <a href="http://www.altoona.psu.edu/police/">Altoona</a> </li> <li class="menu-item"> <a href="http://beaver.psu.edu/university-police-services">Beaver</a> </li> <li class="menu-item"> <a href="https://berks.psu.edu/police-services">Berks</a> </li> <li class="menu-item"> <a href="http://brandywine.psu.edu/police-public-safety">Brandywine</a> </li> <li class="menu-item"> <a href="http://dubois.psu.edu/Safety">DuBois</a> </li> <li class="menu-item"> <a href="http://psbehrend.psu.edu/student-life/student-services/police">Erie, The Behrend College</a> </li> <li class="menu-item"> <a href="http://fayette.psu.edu/safety-and-security">Fayette, The Eberly Campus</a> </li> <li class="menu-item"> <a href="https://greaterallegheny.psu.edu/university-police-public-safety">Greater Allegheny</a> </li> <li class="menu-item"> <a href="http://greatvalley.psu.edu/university-police-and-public-safety">Great Valley </a> </li> <li class="menu-item"> <a href="http://harrisburg.psu.edu/safety-police-services/">Harrisburg </a> </li> <li class="menu-item"> <a href="https://hazleton.psu.edu/safety-security">Hazleton</a> </li> <li class="menu-item"> <a href="http://lehighvalley.psu.edu/safety-security">Lehigh Valley</a> </li> <li class="menu-item"> <a href="http://montalto.psu.edu/safety">Mont Alto</a> </li> <li class="menu-item"> <a href="http://newkensington.psu.edu/safety-security">New Kensington</a> </li> <li class="menu-item"> <a href="http://schuylkill.psu.edu/safety">Schuylkill </a> </li> <li class="menu-item"> <a href="https://shenango.psu.edu/student-life/university-police">Shenango</a> </li> <li class="menu-item"> <a href="http://wilkesbarre.psu.edu/police">Wilkes-Barre</a> </li> <li class="menu-item"> <a href="https://scranton.psu.edu/police-and-public-safety">Scranton</a> </li> <li class="menu-item"> <a href="http://york.psu.edu/student-life/services/safety">York</a> </li> </ul> </li> </ul> </li> <li class="menu-item menu-item--expanded"> <a href="/crime-safety-data" data-drupal-link-system-path="node/21320">Crime & Safety Data</a> <ul class="menu"> <li class="menu-item"> <a href="/annual-security-reports" data-drupal-link-system-path="node/22210">Annual Security Reports</a> </li> <li class="menu-item"> <a href="/daily-crime-log" data-drupal-link-system-path="node/221126">Daily Crime and Fire Log</a> </li> <li class="menu-item"> <a href="/crime-alerts" data-drupal-link-system-path="crime-alerts">Crime Alerts</a> </li> <li class="menu-item"> <a href="/university-police-community-survey-reports" data-drupal-link-system-path="node/28836">University Police Community Survey Reports</a> </li> <li class="menu-item"> <a href="/university-police-records" 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data-drupal-link-system-path="node/45096">UPPS Policies</a> </li> <li class="menu-item"> <a href="/upps-data" data-drupal-link-system-path="node/236431">UPPS Data</a> </li> <li class="menu-item"> <a href="/training-improvements" data-drupal-link-system-path="node/45701">Training</a> </li> <li class="menu-item"> <a href="/advisory-board" data-drupal-link-system-path="node/44116">Advisory Board</a> </li> <li class="menu-item"> <a href="/body-worn-camera-program" data-drupal-link-system-path="node/69576">Body-Worn Camera Program</a> </li> </ul> </li> <li class="menu-item"> <a href="/continue-the-conversation" data-drupal-link-system-path="node/50066">Continue The Conversation</a> </li> </ul> </li> <li class="menu-item menu-item--expanded"> <a href="/career-opportunities" data-drupal-link-system-path="node/302">Jobs</a> <ul class="menu"> <li class="menu-item menu-item--expanded"> <a href="/career-opportunities" data-drupal-link-system-path="node/302">Full and Part Time Opportunities</a> <ul class="menu"> <li class="menu-item"> <a href="/police-officer-hiring-reference-guide" data-drupal-link-system-path="node/23016">Police Officer Hiring Reference Guide</a> </li> </ul> </li> <li class="menu-item"> <a href="/student-auxiliary-officers-0" data-drupal-link-system-path="node/5535">Student Auxiliary Officers</a> </li> <li class="menu-item"> <a href="/upps-internship" data-drupal-link-system-path="node/13805">Internship</a> </li> </ul> </li> <li class="menu-item"> <a href="https://news.psu.edu/unit/university-police-and-public-safety">News </a> </li> <li class="menu-item"> <a href="/search" aria-label="Search" data-drupal-link-system-path="search">Search</a> </li> </ul> </nav> <nav role="navigation" aria-labelledby="block-topbuttons-2-menu" id="block-topbuttons-2" class="block block-menu navigation menu--top-buttons" id="top-buttons"> <h2 class="visually-hidden" id="block-topbuttons-2-menu">Top Buttons</h2> <ul class="menu"> <li class="menu-item"> <a href="/" class="button solid" data-drupal-link-system-path="<front>">Home</a> </li> <li class="menu-item"> <a href="/team" class="button solid" data-drupal-link-system-path="node/7606">Team</a> </li> <li class="menu-item"> <a href="/report-crime" class="button ghost" data-drupal-link-system-path="node/308">Report A Crime</a> </li> <li class="menu-item"> <a href="https://psualert.psu.edu/psualert/" aria-label="PSU Alert" class="button ghost">PSUAlert</a> </li> </ul> </nav> </div> </div> </div> <main role="main"> <div class="layout-content"> <a id="main-content"></a> <div class="region region-content"> <div data-drupal-messages-fallback class="hidden"></div> <div id="block-fb-system-main" class="block block-system block-system-main-block"> <article about="/community-education-program-request-form" class="node node--type-webform node--view-mode-full"> <div class="node__content"> <section role="region" class="layout layout--onecol box mt20 mb20 single" aria-label="Form"> <div class="layout-inner"> <div class="layout__region layout__region--content"> <div id="field_block-88437da6-e4a8-4a2f-bcc5-31abe7ecc5c9" class="block block-layout-builder block-field-blocknodewebformtitle"> <span class="field field--name-title field--type-string field--label-hidden"><h1>Community Education Program Request Form</h1></span> </div> <div id="field_block-3d623ee8-6b3a-4600-863b-761b6b038da0" class="block block-layout-builder block-field-blocknodewebformbody"> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>We offer a wide array of Community Education Programs. Please fill out the form below to make a program request. We will do our best to accommodate the requested location and date for you or your group; however, we will contact you to confirm or make any necessary changes.</p> </div> </div> <div id="field_block-8ed4f65d-800d-4f16-9b60-c51974e914b0" class="block block-layout-builder block-field-blocknodewebformwebform"> <div class="field field--name-webform field--type-webform field--label-hidden field__item"><div class="fb-webform"> <form class="webform-submission-form webform-submission-add-form webform-submission-community-education-program-requ-form webform-submission-community-education-program-requ-add-form webform-submission-community-education-program-requ-node-312-form webform-submission-community-education-program-requ-node-312-add-form js-webform-details-toggle webform-details-toggle antibot" data-drupal-selector="webform-submission-community-education-program-requ-node-312-add-form" data-action="/community-education-program-request-form" action="/antibot" method="post" id="webform-submission-community-education-program-requ-node-312-add-form" accept-charset="UTF-8"> <noscript> <div class="antibot-no-js antibot-message antibot-message-warning">You must have JavaScript enabled to use this form.</div> </noscript> <fieldset data-drupal-selector="edit-name" id="edit-name--wrapper" class="webform-name--wrapper fieldgroup form-composite webform-composite-hidden-title required js-webform-type-webform-name webform-type-webform-name js-form-item form-item js-form-wrapper form-wrapper"> <legend> <span class="visually-hidden fieldset-legend js-form-required form-required">Name</span> </legend> <div class="fieldset-wrapper"> <div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-name-first form-item-name-first"> <label for="edit-name-first" class="js-form-required form-required">First Name</label> <input data-drupal-selector="edit-name-first" type="text" id="edit-name-first" name="name[first]" value="" size="60" maxlength="255" class="form-text required" required="required" aria-required="true" /> </div> <div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-name-last form-item-name-last"> <label for="edit-name-last" class="js-form-required form-required">Last Name</label> <input data-drupal-selector="edit-name-last" type="text" id="edit-name-last" name="name[last]" value="" size="60" maxlength="255" class="form-text required" required="required" aria-required="true" /> </div> </div> </fieldset> <div class="js-form-item form-item js-form-type-email form-type-email js-form-item-email form-item-email"> <label for="edit-email" class="js-form-required form-required">Email</label> <input data-drupal-selector="edit-email" type="email" id="edit-email" name="email" value="" size="60" maxlength="254" class="form-email required" required="required" aria-required="true" /> </div> <div class="js-form-item form-item js-form-type-tel form-type-tel js-form-item-phone form-item-phone"> <label for="edit-phone">Phone</label> <input data-drupal-selector="edit-phone" type="tel" id="edit-phone" name="phone" value="" size="30" maxlength="128" class="form-tel" /> </div> <div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-unit form-item-unit"> <label for="edit-unit">Unit (if PSU employee)</label> <input data-drupal-selector="edit-unit" type="text" id="edit-unit" name="unit" value="" size="60" maxlength="255" class="form-text" /> </div> <div class="js-form-item form-item js-form-type-select form-type-select js-form-item-campus form-item-campus"> <label for="edit-campus">Campus</label> <select data-drupal-selector="edit-campus" id="edit-campus" name="campus" class="form-select"><option value="" selected="selected">- None -</option><option value="Abington">Abington</option><option value="Altoona">Altoona</option><option value="Beaver">Beaver</option><option value="Behrend">Behrend</option><option value="Berks">Berks</option><option value="Brandywine">Brandywine</option><option value="Dickinson Law School (Carlisle)">Dickinson Law School (Carlisle)</option><option value="Dubois">Dubois</option><option value="Fayette">Fayette</option><option value="Greater Allegheny">Greater Allegheny</option><option value="Great Valley">Great Valley</option><option value="Harrisburg">Harrisburg</option><option value="Hazleton">Hazleton</option><option value="Hershey">Hershey</option><option value="Lehigh Valley">Lehigh Valley</option><option value="Mont Alto">Mont Alto</option><option value="New Kensington">New Kensington</option><option value="Pennsylvania College of Technology (Williamsport)">Pennsylvania College of Technology (Williamsport)</option><option value="Schuylkill">Schuylkill</option><option value="Scranton">Scranton</option><option value="Shenango">Shenango</option><option value="University Park">University Park</option><option value="Wilkes-Barre">Wilkes-Barre</option><option value="York">York</option></select> </div> <fieldset data-drupal-selector="edit-program-name" id="edit-program-name--wrapper" class="checkboxes--wrapper fieldgroup form-composite webform-composite-visible-title required js-webform-type-checkboxes webform-type-checkboxes js-form-item form-item js-form-wrapper form-wrapper"> <legend> <span class="fieldset-legend js-form-required form-required">Community Education Program of Interest</span> </legend> <div class="fieldset-wrapper"> <div id="edit-program-name" class="js-webform-checkboxes webform-options-display-one-column form-checkboxes"><div class="js-form-item form-item js-form-type-checkbox form-type-checkbox js-form-item-program-name-active-attacker-response-program form-item-program-name-active-attacker-response-program"> <input data-drupal-selector="edit-program-name-active-attacker-response-program" aria-describedby="edit-program-name-active-attacker-response-program--description" type="checkbox" id="edit-program-name-active-attacker-response-program" name="program_name[Active Attacker Response Program]" value="Active Attacker Response Program" class="form-checkbox" /> <label for="edit-program-name-active-attacker-response-program" class="option">Active Attacker Response Program</label> <div class="description"> <div id="edit-program-name-active-attacker-response-program--description" class="webform-element-description">An overview of the Run Hide Fight model for response to an active attacker.</div> </div> </div> <div class="js-form-item form-item js-form-type-checkbox form-type-checkbox js-form-item-program-name-alcohol-awareness form-item-program-name-alcohol-awareness"> <input data-drupal-selector="edit-program-name-alcohol-awareness" aria-describedby="edit-program-name-alcohol-awareness--description" type="checkbox" id="edit-program-name-alcohol-awareness" name="program_name[Alcohol Awareness]" value="Alcohol Awareness" class="form-checkbox" /> <label for="edit-program-name-alcohol-awareness" class="option">Alcohol Awareness</label> <div class="description"> <div id="edit-program-name-alcohol-awareness--description" class="webform-element-description">An overview of the dangers of excessive and underage drinking and relevant Pennsylvania laws.</div> </div> </div> <div class="js-form-item form-item js-form-type-checkbox form-type-checkbox js-form-item-program-name-domestic-violence-awareness form-item-program-name-domestic-violence-awareness"> <input data-drupal-selector="edit-program-name-domestic-violence-awareness" aria-describedby="edit-program-name-domestic-violence-awareness--description" type="checkbox" id="edit-program-name-domestic-violence-awareness" name="program_name[Domestic Violence Awareness]" value="Domestic Violence Awareness" class="form-checkbox" /> <label for="edit-program-name-domestic-violence-awareness" class="option">Domestic Violence Awareness</label> <div class="description"> <div id="edit-program-name-domestic-violence-awareness--description" class="webform-element-description">A review of signs of abuse along with support and resources for victims.</div> </div> </div> <div class="js-form-item form-item js-form-type-checkbox form-type-checkbox js-form-item-program-name-safety-and-security-for-office-personnel form-item-program-name-safety-and-security-for-office-personnel"> <input data-drupal-selector="edit-program-name-safety-and-security-for-office-personnel" aria-describedby="edit-program-name-safety-and-security-for-office-personnel--description" type="checkbox" id="edit-program-name-safety-and-security-for-office-personnel" name="program_name[Safety and Security for Office Personnel]" value="Safety and Security for Office Personnel" class="form-checkbox" /> <label for="edit-program-name-safety-and-security-for-office-personnel" class="option">Safety and Security for Office Personnel</label> <div class="description"> <div id="edit-program-name-safety-and-security-for-office-personnel--description" class="webform-element-description">An overview of safety in the workplace, including guidance to deal with hostile individuals or an active attacker, along with theft prevention and other personal safety tips.</div> </div> </div> <div class="js-form-item form-item js-form-type-checkbox form-type-checkbox js-form-item-program-name-who-we-are-and-what-we-do form-item-program-name-who-we-are-and-what-we-do"> <input data-drupal-selector="edit-program-name-who-we-are-and-what-we-do" aria-describedby="edit-program-name-who-we-are-and-what-we-do--description" type="checkbox" id="edit-program-name-who-we-are-and-what-we-do" name="program_name[Who We Are and What We Do]" value="Who We Are and What We Do" class="form-checkbox" /> <label for="edit-program-name-who-we-are-and-what-we-do" class="option">Who We Are and What We Do</label> <div class="description"> <div id="edit-program-name-who-we-are-and-what-we-do--description" class="webform-element-description">An overview of University Police and Public Safety programs and services.</div> </div> </div> <div class="js-form-item form-item js-form-type-checkbox form-type-checkbox js-form-item-program-name-drug-awareness form-item-program-name-drug-awareness"> <input data-drupal-selector="edit-program-name-drug-awareness" aria-describedby="edit-program-name-drug-awareness--description" type="checkbox" id="edit-program-name-drug-awareness" name="program_name[Drug Awareness]" value="Drug Awareness" class="form-checkbox" /> <label for="edit-program-name-drug-awareness" class="option">Drug Awareness</label> <div class="description"> <div id="edit-program-name-drug-awareness--description" class="webform-element-description">An overview of the different types of commonly used drugs, their effects on the body, and resources available for treatment and support.</div> </div> </div> <div class="js-form-item form-item js-form-type-checkbox form-type-checkbox js-form-item-program-name-sexual-assault-awareness-and-prevention form-item-program-name-sexual-assault-awareness-and-prevention"> <input data-drupal-selector="edit-program-name-sexual-assault-awareness-and-prevention" aria-describedby="edit-program-name-sexual-assault-awareness-and-prevention--description" type="checkbox" id="edit-program-name-sexual-assault-awareness-and-prevention" name="program_name[Sexual Assault Awareness and Prevention]" value="Sexual Assault Awareness and Prevention" class="form-checkbox" /> <label for="edit-program-name-sexual-assault-awareness-and-prevention" class="option">Sexual Assault Awareness and Prevention</label> <div class="description"> <div id="edit-program-name-sexual-assault-awareness-and-prevention--description" class="webform-element-description">With a focus on prevention, this program reviews sexual assault as it relates to Pennsylvania laws, the importance of consent, and resources and support for victims.</div> </div> </div> <div class="js-form-item form-item js-form-type-checkbox form-type-checkbox js-form-item-program-name-car-seat-safety-check form-item-program-name-car-seat-safety-check"> <input data-drupal-selector="edit-program-name-car-seat-safety-check" aria-describedby="edit-program-name-car-seat-safety-check--description" type="checkbox" id="edit-program-name-car-seat-safety-check" name="program_name[Car Seat Safety Check]" value="Car Seat Safety Check" class="form-checkbox" /> <label for="edit-program-name-car-seat-safety-check" class="option">Car Seat Safety Check</label> <div class="description"> <div id="edit-program-name-car-seat-safety-check--description" class="webform-element-description">Multiple Penn State police officers are nationally certified as Child Passenger Safety Technicians and conduct child safety seat inspections and assist with installations.</div> </div> </div> <div class="js-form-item form-item js-form-type-checkbox form-type-checkbox js-form-item-program-name-scamming-and-phishing-safety form-item-program-name-scamming-and-phishing-safety"> <input data-drupal-selector="edit-program-name-scamming-and-phishing-safety" aria-describedby="edit-program-name-scamming-and-phishing-safety--description" type="checkbox" id="edit-program-name-scamming-and-phishing-safety" name="program_name[Scamming and Phishing Safety]" value="Scamming and Phishing Safety" class="form-checkbox" /> <label for="edit-program-name-scamming-and-phishing-safety" class="option">Scamming and Phishing Safety</label> <div class="description"> <div id="edit-program-name-scamming-and-phishing-safety--description" class="webform-element-description">An overview of common scams and phishing attempts, which includes tips on how to avoid becoming a victim and resources for victims.</div> </div> </div> <div class="js-form-item form-item js-form-type-checkbox form-type-checkbox js-form-item-program-name-nighttime-patrol-request form-item-program-name-nighttime-patrol-request"> <input data-drupal-selector="edit-program-name-nighttime-patrol-request" aria-describedby="edit-program-name-nighttime-patrol-request--description" type="checkbox" id="edit-program-name-nighttime-patrol-request" name="program_name[Nighttime Patrol Request]" value="Nighttime Patrol Request" class="form-checkbox" /> <label for="edit-program-name-nighttime-patrol-request" class="option">Nighttime Patrol Request</label> <div class="description"> <div id="edit-program-name-nighttime-patrol-request--description" class="webform-element-description">If you are a Penn State employee who works on campus at night, you can request an officer walk through your area while you鈥檙e working on campus. This service should not be used for immediate assistance or emergencies, instead call 911. Not available at all campuses; based upon police service availability at your campus.</div> </div> </div> <div class="js-form-item form-item js-form-type-checkbox form-type-checkbox js-form-item-program-name-virtual-meeting-safety form-item-program-name-virtual-meeting-safety"> <input data-drupal-selector="edit-program-name-virtual-meeting-safety" aria-describedby="edit-program-name-virtual-meeting-safety--description" type="checkbox" id="edit-program-name-virtual-meeting-safety" name="program_name[Virtual Meeting Safety]" value="Virtual Meeting Safety" class="form-checkbox" /> <label for="edit-program-name-virtual-meeting-safety" class="option">Virtual Meeting Safety</label> <div class="description"> <div id="edit-program-name-virtual-meeting-safety--description" class="webform-element-description">An overview of resources and tools available to help protect your virtual meetings.</div> </div> </div> <div class="js-form-item form-item js-form-type-checkbox form-type-checkbox js-form-item-program-name-pedestrian-and-traffic-safety form-item-program-name-pedestrian-and-traffic-safety"> <input data-drupal-selector="edit-program-name-pedestrian-and-traffic-safety" aria-describedby="edit-program-name-pedestrian-and-traffic-safety--description" type="checkbox" id="edit-program-name-pedestrian-and-traffic-safety" name="program_name[Pedestrian and Traffic Safety]" value="Pedestrian and Traffic Safety" class="form-checkbox" /> <label for="edit-program-name-pedestrian-and-traffic-safety" class="option">Pedestrian and Traffic Safety</label> <div class="description"> <div id="edit-program-name-pedestrian-and-traffic-safety--description" class="webform-element-description">An overview of laws and University policies related to pedestrians, motorists, bikes, scooters, skateboards and more. Includes safety tips and other important information.</div> </div> </div> <div class="js-form-item form-item js-form-type-checkbox form-type-checkbox js-form-item-program-name--introduction-to-safety-at-penn-state form-item-program-name--introduction-to-safety-at-penn-state"> <input data-drupal-selector="edit-program-name-introduction-to-safety-at-penn-state" aria-describedby="edit-program-name-introduction-to-safety-at-penn-state--description" type="checkbox" id="edit-program-name-introduction-to-safety-at-penn-state" name="program_name[ Introduction to Safety at Penn State]" value=" Introduction to Safety at Penn State" class="form-checkbox" /> <label for="edit-program-name-introduction-to-safety-at-penn-state" class="option"> Introduction to Safety at Penn State</label> <div class="description"> <div id="edit-program-name-introduction-to-safety-at-penn-state--description" class="webform-element-description">This program is intended for international Penn Staters, including those who speak English as a second language. The program provides an overview of safety at Penn State and University Police and Public Safety.</div> </div> </div> <div class="js-form-item form-item js-form-type-checkbox form-type-checkbox js-form-item-program-name-personal-safety-and-awareness form-item-program-name-personal-safety-and-awareness"> <input data-drupal-selector="edit-program-name-personal-safety-and-awareness" aria-describedby="edit-program-name-personal-safety-and-awareness--description" type="checkbox" id="edit-program-name-personal-safety-and-awareness" name="program_name[Personal Safety and Awareness]" value="Personal Safety and Awareness" class="form-checkbox" /> <label for="edit-program-name-personal-safety-and-awareness" class="option">Personal Safety and Awareness</label> <div class="description"> <div id="edit-program-name-personal-safety-and-awareness--description" class="webform-element-description">A 75-minute session that introduces key strategies for personal safety, including physical resistance strategies.</div> </div> </div> </div> </div> </fieldset> <div class="js-form-item form-item js-form-type-textfield form-type-textfield js-form-item-preferred-program-location-i-e-conference-room-126-hfs-building- form-item-preferred-program-location-i-e-conference-room-126-hfs-building-"> <label for="edit-preferred-program-location-i-e-conference-room-126-hfs-building-">Preferred Program Location (i.e. Conference Room 126 HFS Building)</label> <input data-drupal-selector="edit-preferred-program-location-i-e-conference-room-126-hfs-building-" type="text" id="edit-preferred-program-location-i-e-conference-room-126-hfs-building-" name="preferred_program_location_i_e_conference_room_126_hfs_building_" value="" size="60" maxlength="255" class="form-text" /> </div> <div class="js-form-item form-item js-form-type-date form-type-date js-form-item-preferred-program-date form-item-preferred-program-date"> <label for="edit-preferred-program-date" class="js-form-required form-required">Preferred Program Date</label> <input type="date" data-drupal-selector="edit-preferred-program-date" id="edit-preferred-program-date" name="preferred_program_date" value="" class="form-date required" required="required" aria-required="true" /> </div> <input data-drupal-selector="edit-captcha-sid" type="hidden" name="captcha_sid" value="60306" /> <input data-drupal-selector="edit-captcha-token" type="hidden" name="captcha_token" value="rIFuRYBscOxF0aNa0YlG3ynl1bmCVZvfAOxVvl8PjBQ" /> <input id="recaptcha-v3-token" class="recaptcha-v3-token" data-recaptcha-v3-action="version_3_threshold_trigger" data-recaptcha-v3-site-key="6LdJZs4aAAAAAE9xFs2ccLt9-NDTD5vHiwZAL_Fh" data-drupal-selector="edit-captcha-response" type="hidden" name="captcha_response" value="" /> <input data-drupal-selector="edit-is-recaptcha-v3" type="hidden" name="is_recaptcha_v3" value="1" /> <input data-drupal-selector="form-ngrtv-qmjlgxnxdx-6axi29zno6ivxatfjut-koxtri" type="hidden" name="form_build_id" 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