Request a Speaker

Name
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Date Submitted
Date of Event*
MM slash DD slash YYYY
Event Start Time*

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MM

AM/PM
Event End Time*

: HH

MM

AM/PM
Request Type*
Topic of Interest*
Would you like a PowerPoint presentation*?
- Yes
- No
*Our volunteers can present either with or without PowerPoint. If you would like for us to display slides, you must provide a computer and projector as well as a person to operate them during the presentation.
Is there anything else we should know?
Name of Facility*
Address*
Street Address Address Line 2 City State ZIP Code
County*
Number of People Attending*
Contact Name*
First Last
Contact Phone Number*
Contact Email*

Georgia WIC

The Georgia WIC Program provides no-cost nutrition support for pregnant women, new mothers, infants, and children under age five. This includes monthly food benefits, breastfeeding support, nutrition… Read More

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