Application to Present an Item at a Public Meeting

In an effort to provide transparent government, to ensure citizens and interested parties a right to be heard, and to conduct business in an efficient manner it is requested that individuals wishing to speak at a City Council or Board of Public Works and Safety meeting complete this application and submit. Your response will be acted upon by our staff in a timely manner.

Full Name (First Last) (*)

Invalid Input
Date


Invalid Input
Of (if applicable)

Invalid Input
On Behalf Of (if applicable)

Invalid Input
Street Address

Invalid Input
City, State and Zip Code

Invalid Input. Please enter an email address.
Phone Number (*)

Invalid Input
eMail Address

Invalid Input
Preferred Method of Contact

Invalid Input
Item to be Presented at Public Meeting (*)

Invalid Input

Please check the box below


When all information is completed, submit this form.