SCHEDULE REQUEST FORM: District 6

* indicates required fields.

Date of Event: *
Name of Requester: *
Phone: *
Fax:
Date of Request:
Reason For: Event Meeting
Organization:
Event Location: *
(exact location, rm #,
table #)
Total Time Requested: *
(program time, individual's anticipated time)
Contact Information: *
(contact information for the day of the event)
Commissioner's Role:
Will the Commissioner be asked to speak? Yes No
Attendees:
(number, notable attendees)
Press: * Has the press been invited? Yes No
   
Background/Briefing:

(Please include any briefing papers, background information, agenda, speaking points etc., or indicate the day the materials will be provided, at least 7 days in advance of the event.)