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.

Request a Speaker

Fields marked with a * are required.

Topic

Choose a Topic *

Your Contact Information

Name *

Requesting Organization *

Phone Number (daytime) *

Mailing Address

Event Details

Location *

Provide an address for the speaking engagement and any helpful directions.

Date *

Month

Day

Year

Start Time *

Hour

Minute

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

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

Projector

Projector Screen

Computer

Microphone

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Request a Speaker