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Community Event & Education Request Form (H-9)

The City of Milwaukee Health Department is committed to community outreach and education. Each request or event attendance is evaluated on a case-by-case basis. Requests should be made at least 30 days in advance. Requests within a shorter timeframe will be accommodated if possible. Please note: You may be contacted by a designated City of Milwaukee Health Department staff member for further information.

*Required Fields

*Type of request

 Brochures/Program Materials Only  Table/Booth (ex. Health Fair)
 Presentation/Speaker  Testing/Direct Service
 Other: 

Organization


*Name of Organization:

*Contact Person: 

Address: 

*Phone:   

*Email:

*Type of Organization: 
   Government  Faith-based Organization
   Non-profit  School
   Business Healthcare Organization
  Media  
   Other:  

Event Details


*Date(s):                         

*Time (start and end time):   

*Location:

*Purpose of event: 

 

*Please select up to 5 topics for representation:
  Communicable Disease Men's Health
  Domestic Violence Prevention Newborn Screening
  Emergency Preparedness Public Health Lab
  Food Safety Safe Sleep
  Health Insurance Access & Public Benefits Sexually Transmitted Diseases (including HIV)
  Environmental Health (e.g. rabies, mold) Tattoo & Body Piercing
  Home Visiting Teen Pregnancy Prevention
  Immunizations WIC (Women, Infants & Children) Program
  Lead Poisoning Prevention Women's Health (Breast & Cervical Cancer)
  Lead & Water Other: 

 


*Is media invited to the event?

Yes    No    Unsure


Additional Event Information

Attendees:          
  Number expected: 0-50 50-100 100-200 200-500 500+
  Age ranges (check all that apply):  K-5th grade 6th-12th grade Adults
  Languages (check all that apply): English Spanish Other: 
Additional information about event target population:
What other community partners are involved?
Special instructions for vendor set-up (including set-up time and provided materials): 
 
What amenities will be provided by the event organizers? (check all that apply)
  Wireless internet Tent Tables/Chairs Meals Drinks Other: 
Please wait while we gather your results.

Important Partner Links


Winter Weather Safety

Center for Disease Control (CDC) Winter Weather page

Wisconsin Department of Health Services (DHS) Winter Weather page


Warming Centers

Adullam Family Warming Center

3033 North 30th Street
Milwaukee, WI 53210
Must call 211 for entry
Serves families with children
7:00pm to 7:00am (guests must arrive by 8:00pm) when temperature is 15 degrees or below

Benedict Center
209 West Orchard Street
Milwaukee, WI 53204
Serves single women in the sex trade
Monday - Friday: 6:00pm to 7:30am
Saturday and Sunday: 8:00pm to 7:30am

Divine Intervention (Ministry to the Homeless)
Tippecanoe Church
125 West Saveland Avenue
Milwaukee, WI 53207
Call 211 for entry
Serves single adults age 18 and older
6:00pm to 8:00am

Greater New Birth Warming Center
8237 West Silver Spring Drive
Milwaukee, WI 53218
Call 211 for entry or walk-in 7:00pm to 10:00pm
Serves single adults
7:00pm to 7:00am when temperature is 15 degrees or below

Guest House of Milwaukee
1216 North 13th Street
Milwaukee, WI 53205
Must call 211 for entry
Serves single men age 18 and older
Open 24 hours per day, 7 days per week

Repairers of the Breach
1335 West Vliet Street
Milwaukee, WI 53205
Open Monday - Saturday 7:00am to 4:00pm as a day shelter
Reopens for overnight shelter at 8:00pm when the temperature is 20 degrees or below, but guests must arrive no later than 10:00pm
Walk-ins welcome

Salvation Army
Multiple locations, walk-in or call 211 for entry:


1645 North 25th Street, Milwaukee
Monday - Friday: 8:30am to 4:00pm

4129 West Villard Avenue, Milwaukee
Sunday: 10:00am to noon
Monday - Friday: 9:00am to 4:00pm

2900 West Coldspring Road, Greenfield
Monday - Thursday: 9:00am to 3:00pm
Friday: 9:00am to 1:00pm

8853 South Howell Avenue, Oak Creek
Monday - Friday: 6:00am to 6:00pm

St. Ben's Community Meal
924 West State Street
Milwaukee, WI 53233
Serves single adults age 18 and older
Walk-ins welcome any time during open hours
8:00pm to 8:00am