Coastal Health District Speaker's Bureau - Georgia Coastal Health District Georgia Coastal Health District

Coastal Health District Speaker’s Bureau

Welcome to the Coastal Health District Speakers Bureau – the most convenient way to request a speaker or other special appearance by a local public health subject matter expert.

Please complete the form below and we’ll get back to you as soon as possible. All requests are handled on a first-come, first-served basis and not all requests can be accommodated due to general obligations and availability.

If you are a human and are seeing this field, please leave it blank.

Fields marked with a * are required

About You

Your name: *

Work phone number: *

In the field below, please leave a phone number we can use to reach you in the evening or on weekends, particularly if we need to get in touch on the day of the event.

Evening/Weekend mobile phone number: *

Email address: *

About Your Organization

Your organization's name: *

Tell us a little about your organization:

How many members belong to your organization?

About Your Request

Event title: *

Event location/venue name:

Venue street address: *

City: *

Zip / Post Code: *

Event date & time: *

How many people are expected in the audience? *

Describe the audience: *

Examples: "physicians," "counselors," "mostly parents," "high school students," etc.

Desired length of speech or address: *

Your expectation of speech or address: *

Generally describe the nature of the speech and what the audience may want to hear.

Are PowerPoint and projection equipment available? *

Yes, they are available.
No, they are not available.

Use this space to add any additional notes on arrival, accommodations, special requests, etc.

Scheduling for COVID-19 Vaccination Temporarily Paused

To ensure we have adequate vaccine to fulfill existing appointment requests, the Coastal Health District has temporarily paused appointment scheduling for new requests.

Individuals who are already in our system and awaiting call-back will still be given an appointment.

Click here if you would like to be notified when appointment scheduling resumes.

Georgia Coastal Health District