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HIV Planning Council Event Request
Presentation and Event Requests
To request the participation of the HIV Planning Council at an upcoming event, please fill out the form below. If you have any questions, please contact the Office of Support at HIVPlanningCouncil@austintexas.gov.
1.
Organization Name
2.
Point of Contact
Name
Title
Email Address
Phone Number
3.
Event details
Title
Date
Time
Location
4.
Location
Indoors
Outdoors
Both indoor/outdoor
Virtual event
5.
How many attendees are expected at the event?
Less than 50
50-100
100-200
More than 200
6.
Resources provided:
Table
Chairs
Tent
Access to electricity
Other (please specify)
7.
What is the purpose of your event?
8.
What type of presentation are you looking for?
Keynote speech
Panel discussion
Educational/Training presentation
Other
9.
What are the main topics or themes you would like the presentation to cover?
10.
Would you like to request any specific speakers from our organization?
11.
Please provide any additional details or special requests for the presentation.
12.
Please upload the event flyer here:
Choose File
No file chosen
13.
Would you like to have your event promoted in any of the following:
HIV Planning Council Monthly Digest (all events must be received one week prior to the 1st of the month)
HIV Planning Council Facebook (facebook.com/austinhivpc/)
Flyers to be given out at other HIV Planning Council events (flyers must be sent to the Office of Support)
14.
Are you seeking sponsorship or financial support from our organization for this event or related activities? If yes, please provide details regarding the type and amount of support requested, as well as any specific requirements or expectations.
