COE Event Interest Form

The Community Outreach and Engagement (COE) team is committed to traveling to all 64 counties in Colorado to provide education, resources, and services to help reduce cancer risk and improve health outcomes.

We partner with community organizations, health departments, and event organizers to ensure that residents across the state have access to free, high-quality cancer prevention tools and information.

As part of our mission, we bring:

  • No-cost FIT kits for colorectal cancer screening
  • Smoking cessation information and programs to help people quit tobacco and vaping
  • Free radon test kits for lung cancer prevention
  • Bilingual education on cancer prevention and early detection, including skin cancer, breast cancer, lung cancer, and more

We recognize that every community and event is unique, with its own priorities, challenges, and health concerns. Our team works closely with local partners to customize our approach so that the resources, education, and services we provide meet the specific needs of each community we visit.

If you would like our office to attend an event with your organization or in your community, please fill out this form. 

Thank you!

Sign in to Google to save your progress. Learn more
Your Name *
Your Contact Information *
Event Name and Date (If there is one, if not tentative dates are fine) *
Address of event or city if no address is known *
Organization hosting event (if known) and contact information (if you are not the organizer)
What can you tell me about this event that would help us arrive with enough and appropriate materials? (Estimated number of people, general demographics such as age, language preference, etc) *
What services would you like us to provide? *
Required
Comments *
Submit
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