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Outreach Event Request Form 2024
Fill out this form to have your event added to the newsletter and OMSA website for sign-ups.
If your event is occurring in less than 7 days, please contact v-psnow@ochsner.org
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* Indicates required question
Contact Person for this Event
*
Your answer
Contact Person's Email Address
*
Your answer
Organization/Interest Group Hosting this Event
if applicable
Your answer
Is this event part of an ongoing outreach project listed on the OMSA website?
*
Yes
No
Other:
Event Title
*
Your answer
Event Date
*
MM
/
DD
/
YYYY
Event Time
*
Include start and end times, ex. 4-6pm
Your answer
Event Location
*
Your answer
Number of Volunteers
If limited
Your answer
Event description
*
This will be included in both the newsletter and sign-up page (if you'd like different descriptions for each, feel free to include both and specify which is which)
Your answer
Any extra information to add?
If your event is taking place over multiple days, or has multiple volunteer time shifts, please include those details here.
Your answer
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