RSVP for the 2023 MCHD Fall Partnerships Fair!

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please complete this form to register for Multnomah County Health Department's 2023 Fall Partnerships Fair! This year's event will be on Wednesday, October 4 , 12:00pm to 4:00pm, at the Holiday Inn Ballroom near PDX Airport (8439 NE Columbia Ct, Portland, OR 97220).

The Fall Partnerships Fair is hosted by MCHD's Community Partnerships and Capacity Building team. Light refreshments will be provided.

If you have questions, please contact chw.partnership@multco.us. We look forward to seeing you!

Email *

First Name *

Last Name *

Your Pronouns

Your Organization *

Your Role *

Population(s) Served by your Organization

Please check all that apply!

Black/African

Latinx/e

Indigenous/Native American

Asian

Pacific Islander

Middle Eastern

Slavic and Eastern European

LGBTQIA2S+

Immigrants and refugees

Other:

Dietary restrictions?

None

Vegetarian

Vegan

Gluten Free

Non-Dairy

Other:

What are your expectations for this event?

ADA Accommodations

We strive to make this event inclusive and accessible for all.

To ask questions about accessibility or request accommodations, please contact chw.partnership@multco.us.

How many additional guests will you be bringing? *

Guests include anyone who does NOT register using this form. Do not count registered attendees. (This question helps us anticipate event attendance.)

Guests will not receive email reminders directly from us, so please share the event information with them!

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Multnomah County. Report Abuse

Forms