Home FBI Portland Active Shooter Conference Registration Form

FBI Portland Active Shooter Conference Registration Form

FBI Portland Active Shooter Conference Registration Form

The FBI’s Portland Division will be holding two separate conferences on the topic of active shooters. These half-day events will be geared toward different audiences, as follows:

1. For first responders and higher education specialists - Crisis Response and Umpqua Community College (UCC) Lessons Learned (Choose from January 14 or 15, 2016)

2. For mental health specialists - Active Shooters: Behavioral, Legal, and Threat Mitigation Issues (Choose from February 1, 2, 3, or 5, 2016)

Please determine which conference is best suited to you and use this form to select the date you wish to attend (choose one).

NOTE: If you are registering more than one person for an event OR if you would like to attend more than one event, you will need to complete a separate registration form for each.

Privacy Act Statement

The FBI requests the information on this form to assist in making arrangements for the school threat program being provided by the Portland Field Office. The FBI is authorized to collect and use the information requested on this form pursuant to one or more of the following provisions: 28 U.S.C. § 533 and 28 C.F.R. § 0.85. Providing the requested information is voluntary on your part.

The information you provide is protected by the Privacy Act of 1974, 5 U.S.C. § 552a, as amended, and is maintained in the FBI’s Bureau Mailing Lists system of records, DOJ/FBI-003, notice of which was published in the Federal Register at 70 Fed. Reg. 7513 (Feb. 14, 2005) and which may be viewed at http://www.justice.gov/opcl/doj-systems-records#FBI. The information you provide may be disclosed in accordance with the routine uses contained in that notice or as otherwise authorized by law.