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Tele-engage Meeting Request Form

  1. 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.

  2. (xxx) xxx-xxxx

  3. Which type of phone number?*

  4. Which of the following best describes your organization?*

  5. What is the primary purpose of your event?*

  6. Which of the following issues do you plan to discuss at the meeting?*

  7. Please briefly write what you plan to discuss at the meeting with the City Hall representative.

  8. Please select a preferred meeting date.

  9. 60 minute time slot between 4 - 8 PM only

  10. How many attendees do you expect?

  11. Will a majority of attendees be in the youth demographic? (ages 18-29)*

  12. Will a majority of attendees be of older age? (ages 65+)*

  13. From which of the following departments would you like a representative to attend?*

  14. Please type in his / her name.

  15. Will you need flyer or advertising support to publicize this meeting?*

  16. Do you have your own video conferencing link to use for the meeting?*

  17. 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

  18. Leave This Blank:

  19. This field is not part of the form submission.