Request a CVSan Speaker

Please note: An application does not constitute that CVSan will provide a speaker. First come, first served, based on request.

CVSan will not be processing any in-person speaker requests at this time. To ensure the health and safety of our customers and employees and to limit possible COVID-19 exposure, in-person speaking engagements have been suspended until further notice. Customers can reach CVSan with questions at (510) 537-0757 or contact@cvsan.org.

NOTE: The application period ends November 29, 2019, for 2020 speaking requests.

CVSan anticipates many speaking engagements per year. Speaking engagements are intended for Castro Valley residents/businesses/groups. Preference may be given to groups with a higher percentage of CVSan attendees. CVSan may request your participation in a follow-up survey.

Speaker Request Application

Organization *

Primary Contact Name *

Home Phone
like 555-555-5555
Cell Phone

Work Phone

Preferable Contact Hours/Time *

Email 

Organization Mailing Address *
Full Mailing Address

---

Meeting/Event Information

Date of Event*
mm/dd/yyyy
Time *
hh:mm am or pm
Location *

Indoor or Outdoor
Select One Indoor Outdoor
Please describe available parking

Number of Attendees *
1-25
26-50
51-75
76-100
101-150
Over 150
Number of CVSan Residents

Will a microphone be provided
Select One Yes No
Length of Meeting/Event

Amount of Speaking Time Allotted for CVSan Staff

---

If you have an alternate date available, please fill out the information below.

Alternate Date
mm/dd/yyyy
Alternate Time
hh:mm am or pm
Alternate Location

---

Please select the focus of CVSan's presentation from this list of suggested topics. 
Wastewater Topics
Center Street Project
Wastewater Conveyance & Treatment: How can I make a Difference?
What is a Sewer Lateral and how do I keep it Functioning Properly?
Private Sewer Lateral Program
Other

Solid Waste Topics
Donations & Grants
Earth Day Clean-Up
Recycles Day
Green Ribbon Schools Program & School Recycling Programs
Used Motor Oil Recycling
Zero Waste & the 4Rs: Reduce, Reuse, Recycle, & Rot
Business Recycling Programs
Food Scrap Recycling Programs
Single-Family Residential Recycling Programs
Multi-Family Residential Recycling Program
Other

Please describe what you plan to do (outreach) with the information that CVSan presents. 

---

Please select which of the following items you would like CVSan to provide for participants.
Calendar/Annual Reports
Commercial (Business) Services Guide
Donation & Supply Request Form
Multi- Family Flyers
Residential Curbside Services Guide 
Used Oil Funnels
Household Hazardous Waste Flyers
Easement Brochures
Call Us First Brochures
Fats, Oils, and Grease Brochures

---

Please complete this section if you are interested in expanding your recycling program. 

Name

Home Phone

Cell Phone

Work Phone

Preferable Contact Hours/Time 

Email

Has CVSan made a presentation at your organization in the past? 
Select One Yes No
If yes, when and what topics were discussed?

---

Please attach up to three supporting documents that may help in the evaluation of this application request.  The above information is correct to the best of my knowledge.* 
Your Full Name Here