Meeting and Event Request Form

Name

Title & Organization

E-mail

Phone Number

Request Type Request Type Meeting Event

Platform Platform Virtual In-person Other

If Platform is Other, please specify

Meeting/Event Title

Date

Time

Venue Name & Address

Expected Attendance

Will elected officials be invited to speak or to attend? Will elected officials be invited to speak or to attend? Yes No

Meeting/Event Participants

Meeting/Event Description & Purpose

Description of Role & Discussion Topics

Length of speech or event/meeting

Additional Information