Survey - Event Request Form

Event Request Form

Give an Hour works diligently to fulfill as many requests as possible. Please fill out the information below and a staff member will contact you. Please note, event requests require at least 6 weeks notice for us to consider providing support. Thank you for your interest.

Question - Required - Event POC name:

Question - Required - Event POC email address:

Question - Required - Name of Event:

Question - Required - Event Location (city, state):

Question - Required - Event Date:

Question - Required - Event Time:

Question - Required - Type of Need:

Question - Required - Expected Number of Attendees:

Question - Required - Audience Type
Please make between 1 and 5 selections from the choices below.

	Military
	Veteran
	Reserve
	National Guard
	Community

Question - Not Required - Comments:

(Maximum response 255 chars, approx. 5 rows of text)

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About Give an Hour

Give an Hour™ is a national nonprofit 501(c)(3), founded in September 2005 by Dr. Barbara Van Dahlen, a licensed clinical psychologist. At Give an Hour we believe that within our communities we have the resources to address many of the challenges that face society - challenges that often result in emotional pain and suffering. By harnessing the skills and generosity of citizens across our nation and around the world, we provide those in need with help and hope.

Event Request Form

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