Skip County Header
Alameda County, CA, acgov.org

Lori A. Cox - Calendar Request Form

Thank you for inviting the Agency Director to your event. We welcome the opportunity to provide the public with a better understanding of our programs and services and to learn more about the needs and concerns of our community. Due to heavy caseloads we unfortunately can not guarantee that we will be able to accept every invitation; however, we will make every possible effort to accommodate the request.

Please fill-in and submit this form. Email ssoublet@acgov.org if you have any questions.

1. Event/Program Section

::
::
Address of the Event

2. Requesting Organization

Address of Organization

3. Nature of Request



4. Program Section

::
::
Will Ms. Cox be speaking?
::

5. Audience Section

Is it a panel discussion?
Is there a question and answer session?

6. Logistics Section

Leave this field empty



Social Services Agency Logo Alameda County Seal