SurveyMonkey Powered Online Survey

Please fill out this form to submit an event to the Oregon Department of Veterans' Affairs for inclusion our event calendar and promotion to the veteran community. If you are interested in requesting ODVA to speak at your event or support it in some other manner, please fill out the form found at this link: www.oregon.gov/odva/Connect/Pages/Request-Speaker.aspx

Completion of this form does not guarantee that ODVA will publicize the event. Promotion is at the sole discretion of ODVA.

Questions? Email ODVA_DL_PUBLIC_INFO@odva.oregon.gov

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* Name of Event

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* Event Sponsor (Group/Organization)

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* Partner Organizations

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* Event Website URL (or link to Facebook Event)

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* Start Date/Time of Event

Event start:

Date

Time

AM/PM

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* End Date/Time of Event

Event end:

Date

Time

AM/PM

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* Event Location

Place Name

Street Address *

City/Town *

State/Province

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* Contact Information

Contact Person *

Group/Organization

Email Address *

Phone Number

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* Description of Event

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* If the event has a flyer, please attach it here:

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File

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* Is there a cost to attend?

No, the event is free

Yes (describe below)

Event cost:

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* Is the event open to all without to regard to race, creed, color, sexual orientation, gender identity, or national origin?

Yes

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* Will the event make reasonable accommodations for for people with disabilities? (If yes, please explain)

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* Does the event have the required permits and/or the backing of the local government?

Yes