Community Engagement Request Form
If you would like a Metrocrest Services staff member to attend your event, please complete and submit the following form. Kindly ensure that your event is scheduled at least three weeks in advance to allow sufficient time for the Community Partnerships Manager to review your request. If you have any questions or issues, please email the Community Partnerships Manager, Liz Salas, lsalas@metrocrestservices.org
Event Contact Information
Name
*
First Name
Last Name
Job Title
Organization Name
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Event Request Information
Event Name
*
Event Date
*
-
Month
-
Day
Year
Date Picker Icon
Event Start Time
*
Hour Minutes
AM
PM
AM/PM Option
Event End Time
*
Hour Minutes
AM
PM
AM/PM Option
Is this event taking place at your organization address you provided?
*
Yes
No
Event Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is this a Speaking or Tabling event?
*
Speaker/Presentation
Table Hosting
Will this spreaker/presentation request be in person or virtual?
*
In-Person
Virtual
For presenter/speakers power point presentation please select the technology that will be available.
*
Laptop
Projector
Mic
Clicker
No technology available
What topics are you looking for the organization to cover during the speaking/presentation engagement.
*
Type of event:
*
Corporate
Nonprofit
Government (i.e. city of Carrollton)
School
Religious Organization
Social Group (i.e. Rotary of Coppell)
Other
Anticipated Audience Size
*
Audience Type
*
Adults
Children
Both Children and Adults
Brief Event Description and target Audience
*
Has Metrocrest partcipated in this event before?
Yes
No
Please Provide the Date and Metrocrest staff member that connected with you for the previous event.
Special instructions, requests, registration links or additional comments
Please upload any flyers or other collateral for your event.
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