FY21 Howard County Health Department Community Health Virtual Education Request Form
Thank you for your interest in inviting the Howard County Health Department (HCHD) to participate in your upcoming virtual event. We are committed to helping educate the community we serve.

Please complete this event request form at least one month prior to the event. Our ability to honor your request is based on staffing and alignment with HCHD mission and vision. This form is a notification to the Community Health Educator and not a confirmation that HCHD will participate. If we are only able to provide materials, a pick-up date and time will be coordinated.

Note: We are unable to pay fees to participate in an event. All fees must be waived for HCHD staff to participate.

If you have any questions or cannot fill out the online form, contact us at askhealth@howardcountymd.gov .
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