Request Security

Dedicated to keeping Jewish communities secure, the Wisconsin Jewish Security Network (WJSN) delivers training, partnerships, intelligence, and expert security personnel across Wisconsin.

Wisconsin Jewish Security Network Request Form

To help us provide the most effective security coverage for your event, please complete this form as soon as you know about your event, with as much detail as possible. The more information you share, the better we can assess your needs and coordinate support.

If you have any questions while filling out the form or would prefer to talk through your request, please contact Alex Cohen Poylov at AlexP@JewishSecurityWi.org or at 414-390-5748.

"*" indicates required fields

EVENT INFORMATION

Event name:*

Event description/purpose:*

Event start date:*

Event end date:*

Will this event have multiple dates:*

Yes

My date is:*

Confirmed

Not yet confirmed

Actual event start time:*

Actual event end date:*

My time is:*

Confirmed

Not yet confirmed

Location type:*

Venue Name*

Event address:*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Additional venue comments:

ATTENDANCE AND AUDIENCE

Estimated attendance:

Is this event open to the public?*

Yes

Unknown

Is this event being publicized?*

Yes

Unknown

Is pre-registration required?*

Yes

Unknown

Will children be present?*

Yes

Unknown

Will there be VIPs, elected officials, or high-profile guests?*

Yes

Unknown

Have there been any security concerns or threats related to this event?*

Yes

SECURITY NEEDS

Are other security personnel or law enforcement already scheduled?*

Yes

Is there any other additional information to share about this event?

CONTACT INFORMATION

Person submitting the request:*

First name Last name

Organization (if relevant):

Your position or title (if relevant):

Phone number:*

Form Submitter Email:*

What is your preferred way to be contacted?*

Phone

On-site contact during the event:*

First name Last name

Organization (if relevant):

Position or title (if relevant):

Mobile phone (reachable during the event):*

On-site Contact Email:*

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