Community Engagement Request Form

If you would like a Metrocrest Services staff member to attend your event, please complete and submit the following form. Kindly ensure that your event is scheduled at least three weeks in advance to allow sufficient time for the Community Partnerships Manager to review your request. If you have any questions or issues, please email the Community Partnerships Manager, Liz Salas, lsalas@metrocrestservices.org.

Event Contact Information

First Name

Last Name

Job Title

Organization Name

Phone Number

Street Address

City

State

Zip Code

Event Request Information

Event Name

Event Date

Event Start Time

Event End Time

Is the event taking place at your organization address provided?

Yes

Event Address

Street Address

City

State

Zip Code

Is this a speaking or tabling event?

Speaker/Presentation

Table Hosting

Type of Event:

CorporateNonprofitGovernment (i.e., City of Carrollton)SchoolReligious OrganizationSocial Group (i.e., Rotary of Coppell)Other

Will this speaker/presentation request be in person or virtual?

In-PersonVirtual

For presenters/speakers PowerPoint presentation, please select the technology that will be available:

LaptopProjectorMicClickerNo technology available

What topics are you looking for the organization to cover during the speaking/presentation engagement?

Anticipated Audience Size

Audience Type:

Adults

Children

Both Children and Adults

Brief Event Description and Target Audience:

Has Metrocrest participated in this event before?

YesNo

Previous event date and Metrocrest staff member previously connected with:

Special instructions, requests, registration links or additional comments:

Please upload any flyers or other collateral for your event:

Contact Information