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Early Access
Qualification Sheet
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1. Contact Details
Name Key Safety Individual
*
First
Last
Title/Role
Email
*
Phone
EXT.
2. School/District Details
School Name
District
Address
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Enrollment Size
3. QUALIFICATION QUESTIONS!
Qualify: Lead Qualification – SITE|SAFETYNET℠
School Type:
Public
Private
Charter
Geo/Local:
Urban
Suburban
Rural
Has a School Safety Officer or Team:
Yes
No
School Resource Officer (SRO):
Yes
No
Interested Local Title/Role
Partnerships with Local Police and First Responders:
Yes
No
In Progress
Not Sure
Are You the Primary Decision-Maker for Safety Programs:
Yes
No
Would You Be Open To a FREE Safety Partnership Assessment: NEED YES!
YES!
No
Possibly
Needs Approval
IF YES! - Schedule Time and Date for Onboarding Call
DATE/TIME ONBOARDING
Follow-Up Needed:
Yes
No
Best Time/Method to Follow Up and/or Decision Maker/Approval Name
Table-Top Safety Discussions:
Yes
No
Not Sure
Do You Currently Use any Safety Management Software or Tools:
Yes
No
Don't Know
Are You Interested in Collaborating with Local Law Enforcement on this:
Yes
No
Don't Know
4. Rep Notes
Notes
SUBMIT QS →
