NC African American Heritage Commission

NC African American Heritage Commission

Black History Month 2022 Event and Program Submission Form
Name*

First NameLast Name
Name of Organization*
Name of Event or Program*
Date*

MonthDayYear
Date
Time*

Hour Minutes

AM/PM Option
Does this event or program repeat?*

YesNo
Venue*
Host Organization(s)*
Location*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Event Type*

WorkshopFamily ProgramWalks, Tours, Drop insCourses, WorkshopsMusic-relatedEducationFestivalLectureExhibitOther
Event Description*
Event Link
Cost/Fee*
Email*
example@example.com
Promotional Images
Please verify that you are human*
Should be Empty: