Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Shelby County Division of Community Services Event Participation Request Form

  1. Interested in having the Shelby County Division of Community Services participate in your community/health fair or send someone to speak at your event? Please complete the form to request our participation. Thank you!
  2. Type of Event*
  3. Check the department(s) below for participation in your event*
  4. Items Provided by the Sponsor*
  5. I would like to have someone speak at this event.
  6. I have some questions about the services offered by the Division of Community Services. Please connect me with information about:
  7. Would you like to be added to our email list to receive our monthly newsletter, Community Connections?
  8. Leave This Blank:

  9. This field is not part of the form submission.