Appearance Request Form - Mayor / Other Staff Member
Please fill out the form below to request the Mayor's, or other staff person's, appearance to attend or speak at an event. Due to the volume of requests we receive, the Mayor's Office team advises submitting your request at least 4-6 weeks before an event. Thank you!
Sign in to Google to save your progress. Learn more
Email *
Who is this request for? *
Name of the event *
Date of the event *
MM
/
DD
/
YYYY
Start time of the event *
Time
:
End time of the event *
Time
:
Are you requesting that the Mayor/Staff person speak at this event? *
Type of event *
Required
What role do you hope the Mayor/Staff person will play at this event? *
Required
Location (Name and Address) *
Contact Person Name *
Contact Person Phone Number *
Contact Person Email Address *
Purpose of the event *
Agenda / Program / Run of Show *
If speaking, what are the requested topics for the Mayor/Staff person's remarks?
If speaking, what is the requested length for the Mayor/Staff person's remarks?
Additional information you'd like to share
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of City of St. Petersburg, FL. Report Abuse
Google Forms