Speakers Bureau Presentation
We are excited to schedule with you! Please provide the following information to help us get started. These presentations are available at no cost to you. Please fill out one form for each presentation you are interested in.
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Name of Agency / Company
*
Which presentation are you interested in? (Descriptions are available on our website)
*
Advocacy in Motion (AIM)
Aging Awareness – Growing Older
Aging & Disability Resource Center (ADRC)
Aging-Everybody's Business
AGINGWell
EyeSense
Family Caregiver Support Program
Health Literacy: Knowledge is Power
HomeMatters
Matter of Balance (MOB)
Money Smart for Older Adults Program
PASSPORT
Reframing Aging/Ageism
Senior Medicare Patrol (SMP)
Senior Planet-Older Adults Technology Services Tech Programs
Veteran Directed Care
WRAAA-We Care!
Young at HeART!
Health Fair / Tabling
Date of presentation (30 days advanced notice is required)
-
Month
-
Day
Year
Date
Time (Monday-Friday, 8 A.M.- 5 P.M.)
Hour Minutes
AM
PM
AM/PM Option
Length of presentation
Please Select
30 MIN
45 MIN
60 MIN
Other
Virtual or in-person options are available
Virtual
in-person
What County are you located in? (We only service our 5-county region)
*
Please Select
Cuyahoga
Geauga
lake
Lorain
Medina
Event Location
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please provide us with details about your audience and event (# of attendees, older adults, professionals, conference, senior living community, ect.)
Submit
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