Program Request Form

The Aurora African American Health Coalition is available to participate in presentations and events at your request to share knowledge and insights on various topics. 

Program requests must be made at least X weeks prior to the requested program date. 

The Aurora African American Health Coalition is available to participate in presentations and events at your request to share knowledge and insights on various topics. 

Program requests must be made at least X weeks prior to the requested program date. 

APPLICANT INFORMATION

9 + 12 =

PROGRAM INFORMATION

3 + 11 =