Public Safety IT Free Subscription

	*Public Safety IT* is free to qualified professionals. Summary Description
	To apply for a FREE subscription to *Public Safety IT*, please answer ALL of the questions on the form below.
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2.	Which category best describes the type of agency you work for? (select only one)

Federal County

Military Municipal/Local

State Other (Regional/Tribal)

3.	Which category best describes your job title? (select only one)

Chief Captain

Assistant/Deputy Chief Sergeant

Officers Lieutenant

Firefighters Supervisor

Paramedic/EMT Sheriff

First Responder Deputy Sheriff

Training Officer Chief Information Officer (CIO)

Director IT Director/Manager

Battalion Chief IT Support Staff Dispatcher

Marshal Other

4.	If you have a special function within your agency please indicate below. (select only one)

Administrative/Supervision Information System/Technical Management

Financial/Procurement Operations/Project Management

5.	What is your agency's total annual budget? (select only one)

Under $100,000 $2,000,001 to $5,000,000

$100,001 to $250,000 $5,000,001 to $10,000,000

$250,001 to $500,000 $10,000,000 or more

$500,001 to $1,000,000

$1,000,001 to $2,000,000

6.	What is the Primary Function of your Agency? (select only one)

Fire Justice/Judicial/Courts

Police/Law Enforcement Dispatch/911 Center

Emergency Medical Emergency Operations Center

Emergency Management Agency Other

Homeland Security

7.	What is your Agency Division/Department? (select only one)

Information Technology/Support Administration

Communications Patrol

Research/Planning Custody/Supervision

Operations Other

Support Services

8	What is the month of your birth? (for audit purposes)

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