DPS Forms

Student Project Request Form

Thank you for recognizing the University of Pennsylvania Division of Public Safety’s as a leader in delivering safety and security services in an urban environment. Due to prior scheduled events and commitments we require at least one month’s notice to best prepare and accommodate your visit. Please provide the information below so we can better expedite your request.

Submit the form below with as much detail as possible. You will need to sign and submit the DPS Confidentiality Statement prior to your interview.

"*" indicates required fields

Name

First Last

Phone Number

Email*

Penn ID Number

Professor/Instructor Name

Professor/Instructor Phone Number

Professor/Instructor Email Address

Project Specifics

Course Title

Course Description

Project Deadline*

Detailed Description of Assignment/Project and Its Purpose

Member(s) of the Division of Public Safety you wish to meet

Amount of time requested to conduct interview

Questions to be asked of the DPS Member

CAPTCHA

Additional Forms:

Send Us Feedback Special Event Security Request Form Records Requests Self-defense and Empowerment Courses Request a Special Property Check Presentation Request Form Student Project Request Form Silent Witness Form Police Complaint Form Report a Crime Commend a Member of DPS Annual CSA Clery Crime Form for 2023 Statistics