Speaker Request Form

Thank you for considering the South Carolina Department on Aging for your future speaking engagement.

We ask you submit the form a minimum of 4-6 weeks before the event. For more information, contact Michael Christopher at mchristopher@aging.sc.gov.

To request our agency director for speaking engagements, contact Lily DeGracia at ldegracia@aging.sc.gov.

SCDOA welcomes the opportunity to share knowledge on aging and the services our agency, caregivers, and partners offer. We provide a variety of options to serve and educate the community. These options include:

Presentations on specific topics
Providing agency information at various events
Vulnerable Adult services
Family caregiver support services
Alzheimer’s disease and related dementias services, education, and information
Medicare and Medicaid assistance and information
Nutrition information
Advocating for residents in long-term care facilities
Workforce recruiting and training for older adults 55-and-older

Event Information

Name or organization

Speaker or outreach event requested

Contact person(s)

Contact person(s) for day of the event

Is the event in-person or virtual?

Event location (physical address)

Is the event indoors or outdoors?

Date and time of the event

Who is the audience?

Presentation length (Estimate how long you would like us to speak)

Number of attendees

Will other organizations be attending?

Topic(s) requested

Do you need information materials?

Will media be present?

Do you have audio/visual equipment available to use if needed?

Do you have a computer or projector available to use if needed?

Comments

Event Information

Requestors Information