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Tele-engage Meeting Request Form
This form has been modified since it was saved. Please review all fields before submitting.
If you do not have one, please provide the email address of a contact in your organization to whom we can provide details and updates for this Tele-engage request.
Which type of phone number?
What is the name of your organization?
Which of the following best describes your organization?
Local Community Group
Non-Government Organization (NGO)
What is the name of your event?
What is the primary purpose of your event?
Advocacy / Issue Forum (i.e. community concerns)
Instructional / Educational (i.e. panel, lesson)
Social / Ceremonial
Which of the following issues do you plan to discuss at the meeting?
Crime / Policing
Lack of Resources (gloves, masks, etc.)
Please briefly write what you plan to discuss at the meeting with the City Hall representative.
Please select a preferred meeting date.
60 minute time slot between 4 - 8 PM only
How many attendees do you expect?
1 - 10
11 - 20
21 - 50
Will a majority of attendees be in the youth demographic? (ages 18-29)
Will a majority of attendees be of older age? (ages 65+)
From which of the following departments would you like a representative to attend?
Buffalo Employment and Training Center (BETC)
Department of Community Services
Division of Citizen Services
Permit & Inspection Services
Other (Type in Below)
If "Other" above, please type in the Department.
Is there a specific city representative you would like to request?
Please type in his / her name.
Will you need flyer or advertising support to publicize this meeting?
Do you have your own video conferencing link to use for the meeting?
If "Yes" above, please paste the video conferencing link here.
Will you need assistance in video conferencing set-up?
Note: We require you to participate in a video conferencing training if you do not have your own conference link
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