Outreach Interest Form Outreach Interest Form Event Information Event Title 10th Annual Arts in the Park Festival2024 Port of Baltimore Open HouseAACPS Celebración del Bienestar HispanoBreast Cancer Awareness Tea Hope and HarmonyCommunity Health & Resource FairFall Community Wellness Day Event Date November 16, 2024October 10, 2024October 12, 2024October 19, 2024October 19, 2024October 5, 2024 Start Time 1:30 PM6:00 PM10:00 AM10:00 AM10:00 AM10:00 AM End Time 1:00 PM1:00 PM2:00 PM3:30 PM3:00 PM8:00 PM Vendor Setup Time 5:30 PM8:30 AM9:00 AM9:00 AM9:30 AM12:30 PM Rain Date Not ApplicableNovember 16, 2024 Venue Address Annapolis Middle SchoolBoone Station HallCox Creek Dredged Material Containment FacilityGeorgetown East Elementary School (Cafetorium)Hammonds Lane TheatreThe Severn Center Venue Address 111 Dogwood Rd.194 Hammonds Lane628 Baltimore Annapolis Blvd1000 Kembo Road1160A Reece Road1399 Forest Drive City AnnapolisAnnapolisBrooklyn ParkCurtis BaySevernSeverna Park State MarylandMarylandMarylandMarylandMarylandMaryland Zip Code 211442114621225212262140321403 Your Information Your Name * Your Name First First Last Last Email Bureau AdministrationBehavioral HealthDPMEnvironmental HealthFamily HealthSchool HealthHERJ - Health Ambassadors Only Program * Administration Programs Attending Central Services Communications Finance HERJ Human resources Information Technology Office of Assessment and Planning Emergency Preparedness Student Volunteer HERJ Health Ambassadors Name of organization: Organizations POC: (Point of Contact) Organizations POC: (Point of Contact) First First Last Last POC Email POC Phone How many team members attending? Behavioral Health Programs Attending Adolescent and Family Services Road to Recovery Clinics Recovery Community Support Services System Planning and Management System Training Education and Prevention Services Disease Prevention and Management Programs Attending Chronic Disease Prevention HIV/STI Prevention and Care Infectious Disease Prevention and Control Immunizations Program Public Health Emerging Pathogens Response Environmental Health Programs Attending Food Protection Services Housing Protection Program Sanitary Engineering Family Health Programs Attending Access to Care Adult Evaluation and Review Services (AERS) Dental Health MA Transportation Maternal and Child Health WIC School Health and Support Programs Attending Audiology Clinical Services Operations Program Representative Name of representative/s: Name of representative/s: First First Last Last Representative/s email address: What materials will you provide? Giveaways Flyers/Brochures Health Screening/Testing Training/Seminar N/A OtherOther Submit