Form Center

2. This form is used to request an appearance at a public event only. If you are requesting a private meeting, please email Juliet Black, Administrative Coordinator, at [email protected] 

   Please submit your request at least 30-45 days in advance of the event date.  

   Completion of this request does not guarantee participation. Please refrain from using the mayor's name and image on promotional materials unless and until you receive approval from the Office of the Mayor.

4. Requester's First & Last Name:*
6. Event Contact Name & Contact Information (if different from requester):
8. Name of Organization/Agency:*
10. Email Address:*
11. Phone Number:*
13. Name of Meeting/Event:*
15. Event Location/Address:*

    For virtual meetings or events, please indicate the platform being utilized, i.e. Zoom, Streamyard, Uber Conference, WebEx, etc.

17. Describe provided parking arrangements:*
19. Day of Week:*
    -- Select One --SundayMondayTuesdayWednesdayThursdayFridaySaturday
20. Date & Time of Meeting/Event:*
    Date & Time of Meeting/Event: Start Date

    Date & Time of Meeting/Event: Start Time

    —

    Date & Time of Meeting/Event: End Date

    Date & Time of Meeting/Event: End Time
22. Will your event occur rain or shine?*

    1. Yes
    2. No
23. If applicable, rain date and time:
    If applicable, rain date and time:

    If applicable, rain date and time:
25. Is this a fundraising event?*

    1. Yes
    2. No
27. Description of Meeting or Event:*
29. Attire*
    -- Select One --CasualDressy CasualSemi FormalBusiness FormalBusiness CasualBlack TieWhite TieFestive Attire (please describe in event description)
31. Are you requesting Mayor make remarks?*

    1. Yes
    2. No
33. Type of Remarks:*

    1. Keynote Speech
    2. Welcome/General Remarks
    3. Panel Discussion
    4. Question & Answer Session
    5. Other
    6. Not applicable
35. Duration of Remarks:*

    For longer speeches or addresses, a staff member may reach out to you to discuss further. 

    1. 1-3 minutes
    2. 5-7 minutes
    3. 8+ minutes
    4. Other
    5. Not applicable
37. List event agenda/run-of-show (please indicate the time when you are requesting Mayor or Council make remarks):*
39. If requesting remarks, enter specific talking points. If you are not requesting remarks, use N/A.*
41. If applicable, please list other notable attendees invited. If no response, use N/A.*
43. Will the media be in attendance?*

    1. No press
    2. Open press
    3. Closed press
    4. Selected media invited
    5. To be determined
45. If the mayor is unavailable, would you like another Councilmember to attend?*

    1. Yes
    2. No
47. If yes, please select Councilmember. If you do not want an alternate, select no alternate requested.*
    -- Select One --Mayor Pro Tem Mark-Anthony MiddletonJaviera CaballeroDeDreana FreemanMonique Holsey-HymanJillian JohnsonLeonardo WilliamsNo alternate requested

    Completion of this request does not guarantee a Councilmember's participation. A staff member from the Office of the Mayor & Council will contact you to confirm availability.

    
    

49. Upload invitation or additional event information:
Leave This Blank:


51. 1. Receive an email copy of this form.
52. Email address

    This field is not part of the form submission.

53. Submit

* indicates a required field