Emergency Management Speaker Request Form

Thank you for considering us for your future event or speaking engagement.

CCEMD welcomes the opportunity to share knowledge on Emergency Preparedness for events such as Hurricanes, Tornados, Storms/Flooding, Earthquakes, Winter Storms, and other hazards facing Charleston County. We do this through formal speaking engagements, panel interviews, virtual presentations, discussion based presentations with question and answer, public information booths, etc.

Please know that we do our best to respond to your requests in a timely manner, to assist us we ask that you submit the below form at least 2 weeks prior to your event. In addition, we ask that all events held after normal business hours have a minimum of 20 people in attendance. CCEMD may be able to provide some materials for events we cannot attend on a case-by-case basis.

Your speaker will reach out to you to confirm our attendance.

Speaker Request Form

Name of Organization:

Name of Event:

Address:

Date:

Time:

Presentation Length (time):

Number of Persons Attending:

Topic Requested:

Type of event:  ---Select Type--- Formal Speaking Event Panel Interview Public Relations Booth Virtual Presentation Discussion/Presentation with questions and answers Youth organization Other (Please explain at the bottom of form)

Event Location:

Indoor Yes No

Outdoor Yes No

Do you have audio visual equipement available for the speaker to use, if needed?

Computer Yes No Not applicable

Projector with Computer Input Yes No Not applicable

Screen Yes No Not applicable

Contact Information:

Name:

Address:

City:

State:

Zip:

Email:

Phone (daytime):

Other Phone:

Comments:
()

 

Verification Code:

Contact

Emergency Management Department

8500 Palmetto Commerce Parkway
North Charleston, SC 29456

Phone: (843)746-3800
Fax: (843)746-3810

EMD Duty Officer: (843)743-7200

Office Hours: 8am - 5pm

All Departments

Municipalities

City of Charleston
City of Folly Beach
City of North Charleston
City of Isle of Palms
Town of Awendaw
Town of Hollywood
Town of James Island
Town of Kiawah Island
Town of Lincolnville
Town of McClellanville
Town of Meggett
Town of Mount Pleasant
Town of Ravenel
Town of Rockville
Town of Seabrook Island
Town of Sullivan's Island

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