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Request a Speaker

Please use this form to tell us about your event and request a Red Cross speaker.
Please Note:

Due to limited resources and the high volume of requests, we are not able to set up displays for and man health and safety fairs.

We do not provide health screenings.

If you would like to schedule a blood donation speaker or if you are inquiring about hosting a blood drive, please email Blood Services.


* required information
Speaker Request Form 
Your Contact Information
First Name:*
Last Name:*
Company Name:*
Email:*
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City:*
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ZIP/Postal Code:*
Work Phone (day):*
Your Event Information
Requested Topic Descriptions- Based on the descriptions below, check the box next to the presentation you are interested in under the Requested Topic section.

American Red Cross Overview of Services

Together We Prepare- 5 easy steps to personal and family emergency preparedness

Community Disaster Education- How to prepare and respond to specific types of disaster (ex. flood, tornado, fire)

Disaster Response Planning for Your Business

Get to Know Us Before You Need Us- An overview of Red Cross services provided to military men and women

International Services- Topics include the Geneva Conventions and activities under the International Red Cross and Red Crescent Movement

Volunteering with the Red Cross- Topics include an overview of the services the Red Cross provides and the wide range of roles that volunteers play in providing those services.

Health & Safety- Certified Health and Safety courses (ex. CPR, First Aid) are associated with a fee and time requirements. By checking this box, you are requesting a Red Cross customer service representative contact you about certification opportunities.

Hot Topic- Please indicate the subject material you are requesting in the additional information section below.

Other- Please indicate the subject material you are requesting in the additional information section below.
Requested Topic:* American Red Cross Overview
Together We Prepare
Community Disaster Education
Disaster Response Planning for Your Business
Get to Know Us Before You Need Us
International Services
Volunteering with the Red Cross
Health & Safety
Hot Topic- Custom Presentation
Other
Event:
Event Date:*(mm/dd/yyyy)
Event Start Time:*
Event End Time:
Event Location:
Event Format:
Additional Information:
Thank you for your interest in the American Red Cross!