Cancer Center Speakers Bureau Request

MetroHealth Cancer Center Speakers Bureau Request

Thank you for your interest in having a MetroHealth speaker at your event. In order to help facilitate your request, please complete and submit the following form at least 6 weeks prior to the event date, and allow 3-5 business days for a decision to be made. A minimum audience of 25 is required.

If you have any questions or need help completing this form, please contact Luz Y. Oyola, Community Health Outreach Manager, at loyola@metrohealth.org or 216-778-8328.

Organizer/Program Name *

Organization Description *

Organization Address * +

Contact Name *

Contact Phone *

Contact Email Address *

Event Date * +

Event Start and End Time (e.g., 7-9 p.m.)

Event Location

Event Type (e.g., conference, dinner, etc.)

Event Purpose/Goal

Estimated number of attendees *

Type of Audience (e.g., physicians, nurses, community group, etc.) *

Preferred Topic (select one) *