Speakers Bureau Interest Form
The Contra Costa County MEDS Coalition is recruiting folks to join our Speakers Bureau. As a member, you will have the opportunity to speak to community members to increase awareness of prescription drug misuse and related overdoses, and/or share your lived or personal experience with prescription drug abuse. Given everyone's different capacities, you will have the choice of how you would like to contribute, i.e., pre-recorded videos, live presentations, and speaking at community events. Please fill out the form below and we will reach out to you regarding next steps. Thank you!
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Name *
Email Address *
Phone Number *
Organization/Agency you are representing (if any): *
Do you have lived/personal experience with prescription drug abuse? *
If yes, would you be willing to share your story to the community?
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Are you interested in giving live presentations to the community? *
Are you interested in being featured in a pre-recorded video that will be posted to our social media accounts and shown during presentations? *
Please list any questions or thoughts you have about the Speakers Bureau. *
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This form was created inside of National Coalition Against Prescription Drug Abuse. Report Abuse