Waiting for Health Equity Presentation Request
Please fill out the following form to the best of your knowledge; if you're unsure of an answer, either provide a rough estimate or leave it blank. Center for Health Progress will follow-up with you once this form has been completed. We do our best to accommodate all requests, but cannot guarantee availability. Thank you!
Contact Name *
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Email Address *
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Organization *
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Name of Event or Conference (if applicable)
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Date and Time of Presentation (if set, provide exact date and time; if not set, provide options or range). Note: we recommend 2 hours for these presentations. *
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Location of Presentation (either specific address or at least the city if the exact location isn't set) *
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Estimated Number of Participants *
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Generally, what type of people will be in the room (ie. health care providers, nonprofit advocates, students, etc)?
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Do you have an official definition of health equity that your organization uses? If so, what is it?
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If the presentation is outside of the Denver Metro area, are you able to support travel costs?
We ask that those organizations that have the resources available to pay for copies of the Waiting for Health Equity graphic novel ($5 each) do so, but understand that not every organization has the budget flexibility for that. Are you able to purchase a copy for each attendee? *
Do you have any additional comments or questions that will be helpful to us in organizing this presentation?
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