Community Engagement Event Request

Please complete this form to the begin your request for AAW adaptive equipment at your organization's Community Engagement Event.

Short Description of Event (1-2 Paragraphs)

Event Main Contact Full Name

Event Main Contact Email

Will you need a link to sign up volunteers for the event?

Yes

AAW ID# (Organization)

Community Engagement Event Title

Physical Address of Community Engagement Event

Community Engagement Event Date(s)

Start Time

End Time

Number of OWCs Potentially Needed

Upload Event Flyer

Select File