Request a Food Bank Speaker - Food Bank of Contra Costa and Solano

The Food Bank of Contra Costa and Solano welcomes the opportunity to speak to others in the community who are interested in learning more about our organization, Food Bank programs and services, and how we can continue to fight hunger. This raises awareness and educates friends and colleagues about hunger in Contra Costa and Solano counties and what we can do together to end it.

If you would like to request a Food Bank speaker, please complete the information below and we will get back to you regarding our participation in your event.

Food Bank Speaker Request Form

Contact Information (of person making this request)
Name*
First Last
Organization Name (If Applicable)
Phone including area code*
Email*
Enter Email Confirm Email
Speaking Engagement Information
Name of the Event Coordinator (or Main Contact for this Event)*
First Last
Cell Phone including area code (of Event Coordinator in case we need to reach someone on event day)*
Email of the Event Coordinator if Different to Main Contact*
Enter Email Confirm Email
Event Name/Title*
Address (for speaking engagement)*
Street Address City State ZIP Code
Event Date (if multiple dates, please note the additional dates in the Event Description field below)*
Date Format: MM slash DD slash YYYY
Event Start Time

: HH

MM
Event End Time

: HH

MM
Required Speaker Arrival Time

: HH

MM
Event Description (Please be as detailed as possible.)*
Length of Presentation (approximate in minutes). If unsure, please enter your best estimate of the time range (e.g., 10-15 minutes).*
Audience Information
Approximately how many adults do you expect in the audience? Please give your best estimate.
Approximately how many children do you expect in the audience? Please give your best estimate.
Please provide a brief description of the expected audience.
Presentation Objective(s)
Please indicate what you'd like accomplished or emphasized in this presentation.
Special instructions, requests or additional comments:
I would like to receive periodic Food Bank E-news. Please select all that apply.
- General Interest
- Hunger Fighters (Advocacy)
- Volunteering
- Food Drive
- Events
Phone
This field is for validation purposes and should be left unchanged.

Food Bank Speaker Request Form

Contact Information (of person making this request)

Speaking Engagement Information

Audience Information

Presentation Objective(s)

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