WebMailing Address Date(s) of Contact (MM/DD/YY) (insert rows as needed for repeated contacts) Name and Title of Primary Practice Staff Person Contacted (on date shown at left) TC = Telephone Call DO = Drop-off (front-desk only) OV = Outreach Visit (with any PCP or office champion M = Mail E = Email O = Other Initials of Staff making contact WebDuring COVID, many of our community outreach and education requests were put on hold. We are excited to now re-engage with the community with the re-launching of these programs. ... General Community Event Request Form; Stop the Bleed. Stop the Bleed is a national awareness campaign and call-to-action. Stop the Bleed is intended to cultivate ...
Welcome to the Community Outreach Event Request Form
WebTitle: CO:M1\fUNITY OUTREACH . 1.0 Purpose: The purpose ofthis Standard Operating Procedure (SOP) is to outline the process for maintaining community outreach activities offered by the Syracuse University (SU) Institutional Review Board (IRB). 2.0 Policy: It is the policy ofthe SU IRB to provide information to the community regarding their ... WebCommunity Outreach Event Request Thank you for your interest in partnering with the Department of Health and Human Services for your upcoming event. If your event is … Learn more about the County through our social media pages. phipps family law
Cancer Prevention and Control Seminar
WebCommunity Outreach Event Request Form We invite you to become involved in Homeland Security and Emergency Management Agency's (HSEMA) Community Outreach … WebCommunity Outreach Request Form Please complete this form to initiate an outreach request. A staff member will contact you to discuss your request. 1 Contact Information * 2 Type of Request * Presentation Workshop Vendor/Exhibitor 3 Description * Describe the nature of your request (for example, presentation/workshop topic or description of event) WebCompleted form may be mailed or emailed. Email: [email protected] Mail: Attn. – Department of Health (DC Health) 899 North Capitol Street, NE th5 Floor Washington, … phipps family long island