Northern Kentucky Health Department

Swine Flu Presentation Request

The staff from the Health Department is open to requests to provide presentations about the swine flu (H1N1) in Boone, Campbell, Grant and Kenton counties.

 

Guidelines:

  • We ask that requests only be made for groups in which attendance is expected to be at least 25 to allow the Health Department's limited staff time to be used to educate the greatest number of people.

  • Requests for presentations will be accepted on an on-going basis, but presentations will not begin until late September. At that time, all presentation requests will be reviewed, and groups will be contacted if they have been selected.

  • When appropriate, groups may be asked to combine for presentations (i.e. parent groups from a middle school and elementary school can attend one presentation)

To request a presentation, please fill out the form below. If you have any questions, please contact Emily Gresham Wherle

Organization requesting service:  

Contact person:  

 

Contact phone number: ()  

 

Address number/street:   

 

 City:   County:

Contact e-mail address:  

Suggested location of presentation and directions (Name of building, type of building, room number, etc.):

 

Please select the time of day preferred for your group.

 

Please select the day of week preferred for your group.

 

Target audience:

 

Estimated # of participants:  

 

Event description/program objective:

 

You will be notified of our decision to participate.