FY26 Howard County Health Department Community Health Education Request Form

Thank you for inviting the Howard County Health Department (HCHD) to participate in your upcoming event. We appreciate the opportunity to support and educate the community in a way that reflects our mission and vision. 

Please submit this form at least one (1) month before your event. Submitting this form does not guarantee HCHD participation. 

  • If submitted one (1) month before the event, we will confirm or decline participation within five (5) business days.
  • If submitted more than one (1) month in advance, we will confirm or decline participation thirty (30) days before the event.
  • If submitted less than one (1) month in advance, HCHD staff may not be available to attend; however, we may be able to provide program materials instead.
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.
Sign in to Google to save your progress. Learn more
Email *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report