A Safer Organization Starts Here…We want to hear from you! Please let us know how we can equip or train your organization by completing the form. Our staff will contact you soon. Name * First Name Last Name Organization Name * Email * Phone * (###) ### #### Services Interested In * Free Consult for Bid Facility / Ops Risk Assessment Workplace Violence Training SB553 & Policy Guidance Advanced Training Offerings Industry Type * Business (For Profit) Non-Profit Faith-based / Church Education Government Other What do you do? (Briefly describe) Staff Size * Number of Occupied Buildings * 1 2 3 4 5 6 7 8 9 10+ Total Square Footage less than 1,000 1000 - 2500 2500 - 5000 5000 - 7500 7500 - 10,000 10,000 - 15,000 15,000 - 25,000 25,000 - 50,000 50,000 - 75,000 75,000 - 100,000 100,000 (plus) Does the Organization own or lease the building(s) Own Lease / Rent Property Size (Acres) 1/2 Acre or less 1/2 - 1 1 - 2 2 - 5 5 - 7.5 7.5 - 10 10 - 15 15 - 20 20 - 25 25 - 35 35 - 45 45 - 55 60 (plus) Does the Organization own the Property? No Yes Any comments or questions we can answer? We appreciate your interest in the ACT Survival Program. A representative will contact you within 1-3 business days.