Community Presentation Request Form | Cuyahoga County Board of Developmental Disabilities

Contact Name *

Contact Title *

Phone Number *

Email Address *

Organization Name *

Type of Organization *

Name of Event *

Brief Description of Event *

Location of Event *

(include full address)

Date of Event

Date Picker

(leave blank if date is flexible)

Time of Event *

Length of Time for Presentation *

Cuyahoga DD Topic(s) *

Number of attendees expected *

Type of attendees *

Please check off the equipment needs that your organization is able to provide:

Laptop/computer
Projector
Projection screen or wall for presentation
Electrical outlet
Table

Cuyahoga DD event supports request

Assistive Technology Vehicle
Mobile Sensory Space
Universal Portable Changing Table

Comments

Request a Presentation