Please use this form to request Chester County Health Department's (CCHD) participation in a community outreach event. Community outreach events include educational presentations, community fairs, health fairs, and other educational outreach opportunities. This form should only be completed once for an event. Please complete all fields. You may request multiple topics on this form. After completing this form, you will be contacted to confirm availability of CCHD staff to participate in your event. Please submit your request at least 3 weeks in advance of the anticipated event date. 

If you have any questions, please call 610-344-6490.

Requester Information

Event Information

Additional dates/times or details about the requested dates/times:

What kind of event would you like us to attend?

Where will the event be held?

What equipment or supplies will be provided?

  Not needed Requester will provide Presenter should bring
Electricity
Laptop
Projector
Table
Chairs

How much space will be provided for our materials?

How many people do you expect will attend the event?

Who will attend your event?

Which health topic(s) would you like us to present at your event? Click here for a list of commonly presented topics. Please also provide a brief description of your event.

Based on the event type and topics requested, CCHD may share this event information with other county departments that could contribute related information by participating in the event or sharing materials. Please opt out below if you do not want your event information shared.

Additional information or questions

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