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Ohio Emergency Management Agency
ODPS
ODPS

ODPS Ohio Emergency Management Agency Speakers Bureau Request

Speakers Bureau Request


The Ohio Emergency Management Agency personnel have expertise in a number of subject matter areas who may be available to address your group. If you would like to request a speaker, please fill out this form at least two weeks before your event.


To use this form you must have javascript enabled and an email program open on your computer. Fill out all of the fields on the form and press submit. Your current email program will open with an email filled out containing the values you have entered. You must then send the email to submit the request.


 
Requesting Agency/Business Name:
 
Point of Contact Name:
 
Point of Contact Phone:
 
Point of Contact Email:
 
Speaker Type/Expertise Needed:
 
Event Date:
 
Speaker Time Scheduled (Start/End):
 
Event Location:
 
Who is the Audience:
 
What is the Audience Size:
 
Will there be Media Present?:
 
Any Other Comments:


If you have any problems with this form or questions please contact:

Jay Carey
(614) 799-3695
jdcarey@dps.ohio.gov