Request a Speaker Form - Hope Council on Alcohol & Other Drug Abuse, Inc.

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Hope Council on Alcohol & Other Drug Abuse, Inc.
6103 39th Ave.
Kenosha, WI 53142

Phone: 262-658-8166
Fax: 262-658-8210
Email: info@hopecouncil.org

Office hours:

Monday through Thursday: 9:00 am to 4:00 pm

Friday: 9:00 am to 12:00 pm

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NEED HELP NOW? Call 911 for emergencies. Call or text 988 for mental health or substance use crises. Local 24/7 support: 262-657-7188.

262-658-8166

6103 39th Avenue, Kenosha, WI 53142

262-658-8166

6103 39th Avenue, Kenosha, WI 53142

NEED HELP NOW? Call 911 for emergencies. Call or text 988 for mental health or substance use crises. Local 24/7 support: 262-657-7188.

NEED HELP NOW? Call 911 for emergencies. Call or text 988 for mental health or substance use crises. Local 24/7 support: 262-657-7188.

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Request a Speaker
Request a Speaker Form

Request a Speaker Formdooley2026-07-29T08:41:07-05:00

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Request a Speaker Form

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First name*

Last name*

Email*

Phone*

Organization*

Event or program name

Requested date(s)*

Location (or virtual)*

Audience*

Expected attendance

Topic(s) of interest*

Substance use prevention

Youth vaping & nicotine

Naloxone & overdose prevention

Mental Health First Aid

Request Naloxone Training

Stigma & language

Supporting loved ones / family education

Workplace substance use

Safe medication disposal & risk reduction

Something else

Format

Presentation

Training

Q&A

Series

Not sure

Preferred length

Budget, if your organization uses one (fees are based on ability to pay — this just helps staff plan with you)

Accessibility needs

Anything else we should know?

I understand this form is for speaker/training requests and is not monitored 24/7.*

I understand this form is for speaker/training requests and is not monitored 24/7.

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For Myself
For a Loved One

Programs & Services

Court-Referred & Diversion
Testing
Family Services
Treatment
Risk Reduction

Resources

Substance Information
Youth & Teens
Recovery & Support
Overdose Prevention
Local Directories

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