Outreach and Testing Service Request Center for HIV/AIDS Research, Education and Service (UF CARES) Request Outreach Education services and/or free rapid HIV/STI testing at your organization's next health fair or event in Jacksonville. Services can also be offered for events in surrounding counties. Fill out the following form and a UF CARES representative will contact you within three business days. If you are an individual looking for free HIV testing, please contact us or walk in at your convenience during normal business hours, Monday-Friday 8 a.m. – 4 p.m. Organization Name First Name Last Name Contact Phone Number () - Contact Email Address Event Information Event Name Address City State Florida Florida Zip Code Event Start Date/Time Event End Date/Time Event Set Up Time Event Break Down Time What Services are being requested? * HIV/STI Testing HIV/STI Education PReP At-Home Test Kits Linkage/Re-Engagement to Care TOPWA Other Would you like to request the mobile unit for this event? Select One Yes No Unsure at this time Is this event indoors or outdoors? Select One Indoor Outdoor Both Are table and chairs provided, if applicable? Select One Yes No Not Applicable Is there a vendor fee, if applicable? Select One Yes No Not Applicable What is your intended population of focus for this event? * Estimate number of people attending the event Spin UpSpin Down Frequency of event: * Select One Single event Monthly Quarterly Annually Other Can we share your event on our social media pages? Select One Yes No Math CAPTCHA - Please solve the following: 3 + 3 = *