Request A Program

Dial 8-4200

Please fill out this form if you would like to request the Lehigh University Police to do a program for your residence or group.

You must submit your request three (3) weeks prior to the date you would like the program presented.

  Name: (required)
Phone #: (required)
Address: (required)
E-mail : (required)
Title: (required)
* Title (house president, gryphon, etc.)
Date and time you would like program presented: (required)
Date: Time:
Number of people expected at program: (required)
Please tell us what type of program you would like presented, i.e., alcohol related, safety related, etc.: