12th Annual Fall Forum Booth Interest

Proposal for Educational Booths for the 12th Annual Fall Forum
Please complete the following form to be considered for an educational booth at the upcoming October 14, 2026, 12th Annual Fall Forum - A Conference Co-sponsored by the CHWSD and SD Health Link. Please only consider submitting a proposal for an educational booth if your organization provides education to CHWs/CHRs and/or provides regional or statewide resources. For questions or concerns regarding the booth proposal, please email info@chwsd.org.

Notice of selection will be provided by September 1, 2026, to allow organizations adequate planning for the event.

- The fee for non-profit organizations is $350 (includes 2 attendee registrations).

- The fee for for-profit organizations is $500 (includes 2 attendee registrations).

Organizations will be asked to provide a door prize with a value of ~$50. Attendees will receive a passport to have booths sign off on to be eligible to participate in the door prize drawing.
Organization Name
Organization Contact

First NameLast Name
Organization Contact Email
example@example.com
Organization Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
In one to two sentences, please provide an overview of your organization.
What resources, services, or educational information would your booth provide to CHWs and those attending the conference:
Does your booth require electricity:
Please share any additional information that may assist the review committee in learning more about your booth:
Should be Empty:

Proposal for Educational Booths for the 12th Annual Fall Forum