Part 1 of 2: Event Overview

Health Education Administration (HEA) works to strengthen the Department of Public Health's (DPH) ability to respond to community needs. As a part of this effort, HEA tracks any community event that involves DPH staff.

Please use this entry form to report any community event involving DPH staff. Do not include Speakers' Bureau events (to report a Speakers' Bureau event see https://www.surveymonkey.com/r/sb-speaker-evaluation). To ensure accuracy, we suggest entering your event after it is complete.

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* 1. Your First Name:

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* 2. Your Last Name:

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* 4. Date of Event:

Event date:

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* 5. Address of Event:

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