Speakers Bureau

The Speakers Bureau program provides our community and nonprofit organizations with free access to local health care experts who can offer valuable insights on topics related to our community’s greatest health needs.

Please complete this form if you would like to request a presentation for your group or organization.

Please remember:

Presentations for businesses should be requested through Workplace Wellness.
Applications must be submitted at least 30 days prior to the event.
Augusta Health will attempt to accommodate all requests based on availability of our speakers.

"*" indicates required fields

Topic

Choose a Topic*

Your Contact Information

Name

First Last

Requesting Organization

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Event Details

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Provide an address for the speaking engagement

Date

Start Time

Presentation Length

Group Size

Population Served

Describe your anticipated population served, such as age, interests, etc.

Promotion

Please share how the event will be promoted and how Augusta Health will be recognized.

Equipment

Projector

Projector Screen

Computer

Microphone

Indicate which audio/visual equipment will be available at the location.

CAPTCHA

Phone

This field is for validation purposes and should be left unchanged.