Request for a Speaker or Health Fair at your location

Atlantic General Hospital is pleased to offer a speakers bureau, providing qualified speakers for civic organizations, businesses, schools and community groups in our area. This service is free and we can offer a variety of health and business related topics. A partial list of topics is below but others are being added on an ongoing basis.

To request a speaker or health fair at your location, please fill out the form below. Please allow as much lead time as possible when requesting your speaker. Should you have any questions, please contact Community Education at 410-641-9268.

Reason for request*
Presentation Topic
Presentation Subject
Contact Name*
Name of Organization*
First Name*
Last Name*
Email*
Phone*
Fax
Address*
Street Address Line 1
 
City
State
Zip
Type of Event*
Who is your audience? (gender, age group, profession, etc)*
Estimated number of people attending*
Start Date
Start Time
End Time
Location of Event
Space / Equipment available
Audio / Visual equipment available
Additional information
Submit