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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.

Type of request

 Brochures/Program Materials  Table/Booth (Health Fair/Event)
 Presentation  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
   Other:  

Event


Date(s):                         

Time (start and end time):  

Location:

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

 

Please wait while we gather your results.

Important Partner Links


Heat Safety

https://www.weather.gov/safety/heat

http://readywisconsin.wi.gov/heat/

https://www.osha.gov/heat/

https://www.cdc.gov/disasters/extremeheat/index.html

https://www.dhs.wisconsin.gov/climate/heat.htm

http://www.impactinc.org/impact-2-1-1/


Cooling Sites

Kelly Senior Center

6100 South Lake Drive
Cudahy, WI 53110
(414) 481-9611
Monday - Friday: 8:00am to 4:30pm
Call for extended hours during heat emergencies

Beulah Brinton Community Center
2555 South Bay Street
Milwaukee, WI 53207
(414) 481-2494
Monday - Friday: 8:00am to 9:00pm
Saturday: 8:00am to 6:00pm

Milwaukee Christian Center
807 South 14th Street
Milwaukee, WI 53204
(414) 645-5350
Monday - Friday: 8:00am to 3:00pm

The O.A.S.I.S.
(For Seniors)
2414 West Mitchell Street
Milwaukee, WI 53204
(414) 647-6060
Monday - Friday: 8:00am to 4:00pm

Washington Park Senior Center
4420 West Vliet Street
Milwaukee, WI 53208
(414) 933-2332
Monday - Friday: 8:30am to 4:30pm
Call for extended hours during heat emergencies

Wilson Park Senior Center
2601 West Howard Avenue
Milwaukee, WI 53221
(414) 282-5566
Monday - Friday: 8:30am to 4:30pm
Call for extended hours during heat emergencies

Mill Road Public Library
6431 North 76th Street
Milwaukee, WI 53223
(414) 286-3000
Monday - Wednesday: noon to 8:00pm
Thursday - Friday: 10:00am to 6:00pm
Saturday: 10:00am to 5:00pm

Clinton E. & Bernice K. Rose Senior Center
3045 North Martin L. King Jr. Drive
Milwaukee, WI 53212
(414) 263-2255
Monday - Friday: 8:30am to 4:30pm
Call for extended hours during heat emergencies

East Public Library
2320 North Cramer Street
Milwaukee, WI 53202
(414) 286-3000
Monday: 10:00am to 8:00pm
Tuesday - Wednesday: noon to 8:00pm
Thursday - Friday: 10:00am to 6:00pm
Saturday: 10:00am to 5:00pm

Click HERE for additional locations - call to confirm hours and services.


Milwaukee Water Works
Summer Cool Spots


Click HERE for information!