notes for medicare seminar
Event Basics
1. Event Name: Welcome to Medicare
2. Hosting Group/Organization Name: Ozaukee ADRC
3. Estimated Number of Attendees, if known: 20 4. Is the group a non-profit organization? ☐ Yes X No
5. Is the applicant a resident of the City of Cedarburg? ☐ Yes X No---
Date & Time
6. Preferred Date(s) and Time(s) for the Event: 10/5 5:00 prep 5:30 start time- 7:30 (Include start and end time, plus any time needed for setup/take-down) ---
Event Description
7. Brief Description of the Event: Medicare presentation for those retiring or turning 65 looking to learn the basic information (Include purpose, target audience, and general activities planned) ---
Contact Information
8. Main Contact for the Event:
· Name: Ashley Mutsch
· Email: amutsch@ozaukeecounty.gov
· Cell Phone (for day-of contact): 262-483-7347
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Room Set-up
9. Preferred Room Layout: (Please select one or describe your setup needs) X Lecture Style (rows of chairs) ☐ Panel Discussion (table with chairs at front + audience) ☐ Small Group Tables ☐ Open/No seating ☐ Other (please describe):
10. Will your group handle the room set-up? X Yes ☐ No, we will need staff assistance---
Technology Needs – Please note that the library is not able to provide on-demand technical assistance during your event. A staff member may be available to help, but this cannot be guaranteed. If you anticipate needing technical support, we strongly recommend scheduling a run-through at least 42 hours before your event. To arrange a walkthrough or to discuss any technical questions, please contact Anthony Sigismondi at asigismondi@cedarburglibrary.org.
11. What technical equipment will you need? (Check all that apply) X Projector & drop-down screen X Podium ☐ Microphone ☐ Library laptop X We will bring our own laptop ☐ Wi-Fi access ☐ Extension cords or power strips ☐ Other (please specify):
12. Will you need staff assistance with technology on the day of the event? ☐ Yes X No---
Refreshments
13. Will your group provide refreshments? ☐ Yes X No If yes, please describe (type of food/drinks, setup needs, etc.):
Event Registration (1 of 2)
Register
Register yourself here and add guests on the next screen.
Registrations & Reservations
No upcoming registrations or reservations.
Event Registration (2 of 2)
Hey !
Will anyone be attending with you? Add their name(s) to your registration.
If you are registering for a kid or a teen program, please include child's name and grade level.
notes for medicare seminar
Ashley Mutsch, Ozaukee ADRC.