Speaker Request

Speaker Request
Thank you for your commitment to sharing heart healthy education with your community! If you're looking to have an American Heart Association team member or volunteer speak at an event, please complete this form and we will reach out to follow-up.

Our team leans on our medical experts and volunteers to share heart healthy information. Due to availability, we may not be able to fulfill all speaking requests. Before completing, please ensure you are requesting a speaker at least 30 days in advance of your event. We hope to follow-up within a week of your request.
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Organization*
Event Name and Description*
Event City (PLEASE NOTE - we are only able to provide speakers in Oregon and SW Washington)*
Event Date (Please note, we cannot accommodate any requests submitted less than 30 days before the event)*

MonthDayYear
Date
What time is the event occurring, and what is the length of presentation you're looking for?*
Which category are you seeking a speaker for?*

NutritionBlood Pressure ControlCPR and Emergency ResponseGeneral Heart HealthOther
Audience Size*

0-1010-2020-5050-100Other
Are there any specific materials you would like the speaker to bring?

Topic specific information (pamphlets & booklets)Blood pressure monitorsTechnical equipment (HDMI cord, usb drive, etc.)Slides or other presentation background materialsGeneral heart health information (pamphlets & booklets)
Please share a flyer or other event document if it already exists

Cancelof
Is there any additional information that would be beneficial to the AHA as we gauge team capacity to fill this request?
Should be Empty: