Career & Community Fair Participation Request Form
Thank you for your interest in partnering with SPCC Atlanta AHEC. Please use this form to request SPCC Atlanta AHEC’s attendance at your upcoming Career Fair, Health Fair, College Fair, or Community Fair within DeKalb, Fulton, or Clayton County.By completing this form, you are notifying us of your event and requesting a representative to participate in your community outreach opportunity. With adequate advance notice, SPCC Atlanta AHEC will make every effort to attend and provide information on health career education, health promotion initiatives, professional development programs, and continuing education opportunities.
What is the name of the organization conducting this Community Engagement opportunity?
What is the name of this Community Engagement opportunity?
Who is the point of contact for this Community Engagement opportunity?
Contact Phone Number
Please enter a valid phone number.
Contact Email Address
example@example.com
Date of the Event
-
Month
-
Day
Year
Date
Address of the Event
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Event Attendees
Elementary School (K-5th Grade)
Middle School (6th-8th Grade)
High School (9th-12th Grade)
College/University
Community
Health Professionals
What is the expected audience number for the Event?
What time should SPCC Atlanta AHEC representative arrive for set up for the Event?
Submit
Should be Empty: