Thank you for the opportunity to support your endeavors to promote a healthy community.
Please submit your request 4 weeks prior to your event.
Tell us about your organization and event by completing the following information.
Every attempt will be made to fulfill your request.
Please allow 10 working days for review of your request.
You will be contacted after the review is complete.
Thank you for your inquiry.

Your Information

Event Information

Type of Event
Address of Event
Target Audience (select all that apply)
Target Audience (select all that apply)
What information or activities do you want us to provide? (select all that apply)
What information or activities do you want us to provide? (select all that apply)
Unfortunately, the Pueblo Department of Public Health and Environment is not able to provide health screenings at any event (i.e. blood pressure, HIV testing, glucose, cholesterol, etc.)
Other Agencies or Organizations Attending (select all that apply)
Other Agencies or Organizations Attending (select all that apply)
What type of advertising has been done to promote this event? (select all that apply)
What type of advertising has been done to promote this event? (select all that apply)
How will the success of this event be evaluated?
How will the success of this event be evaluated?