FY24 Howard County Health Department Community Health Education Request Form
Thank you for inviting the Howard County Health Department (HCHD) to participate in your upcoming event. We are committed to helping educate the community we serve in a manner that aligns with the HCHD mission and vision. Please complete this form at least one (1) month prior to the event date. Submitting this form does not confirm HCHD participation.
  • If this form is completed one (1) month prior to the event, we will contact you to confirm or decline participation within five (5) business days of receipt.
  • If this form is completed more than one (1) month in advance of the event, we will contact you to confirm or decline participation thirty (30) days before the event.
  • If this form is completed less than one (1) month prior to the event, we may be able to offer HCHD program materials in lieu of HCHD staff participation.
Note: We are unable to pay fees to participate in an event. All fees must be waived for HCHD staff to participate.

If you have any questions or cannot fill out the online form, contact us at askhealth@howardcountymd.gov.
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