Public Appearance Request Form

Public Appearance Request Form

Thank you for requesting the Mayor or Wichita City Council Member to speak at your event. To assist in coordinating their appearance, please complete this form by the requested deadline. The form must be submitted a minimum of two weeks prior to the event. Please call 268-4331 to confirm that your request has been received.

Title of Event*

Date of Event*

City Council schedules are very busy on Tuesday's so please do not select a Tuesday to meet with them. Also, please provide 3-4 weeks before the event.

Location & Address of Event*

What district does the event take place in?*

If you don't know the district, please use our district checker.

Select or enter value

Event Parking Instructions*

Describe where to park, pay to park, reserved parking, etc.

Organization*

Enter the name of the requesting organization.

Organization Website*

Requestor Name*

Requestor Phone*

Requestor Email*

Event Start Time*

AM or PM*

AM

PM

Event End Time*

AM or PM End Time*

AM

PM

Number of Attendees

How many attendees do you anticipate will attend the event?

Arrival Time*

Enter the time the official should arrive at the event.

Speech Time*

Enter the time the official will speak.

Dress Code*

Choose one.

Professional

Formal

Casual

Official*

Select the name of the official to attend the event. In the event the Mayor cannot attend, the Vice Mayor will be requested.

Select or enter value

Alternate Official

If the requested official is not available would you like us to select another official on your behalf. Click the box below.

Event Contact Name*

Enter the name of the person who will meet the official upon their arrival?

Person Meeting the Official On-Site Mobile Number*

Do you want the official to speak?

Check the box below if you want the official to speak at this event.

Speech Duration (mins)

If speaking, enter the amount of time allotted for the speech (8 minute max).

Podium?

Check the box below if there will be a podium available (podium preferable)

Type of Speech*

Select the type of speech you would like the official to give.

Select

Why Important*

Enter a few lines describing why the event is important.

History of Organization*

Enter a few lines describing the organization's history.

Talking Points

Please write a draft of what you would like the official to say. NOTE: You can attach documents to this form.

File Attachments

Attach a draft of what you would like the official to say.

Drag and drop files here or

Send me a copy of my responses

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