Request for Function Participation

2. Use this form to request the Mayor's or a Council Members participation in your event or function. <Br> Please note that requests must be submitted two weeks in advance.<br> Contact Kayla Samek (281-275-2313) for additional questions.

   Use this form to request the Mayor's or a Council Members participation in your event or function.
   Please note that requests must be submitted two weeks in advance.
   Contact Kayla Samek (281-275-2313) for additional questions.

4. Proclamations, Certificates, or Recognition
   To request a proclamation, certificate, or recognition, fill out the <a href="http://www.sugarlandtx.gov/FormCenter/City-Secretary-18/Request-for-a-Proclamation-146">online request form</a>.

   To request a proclamation, certificate, or recognition, fill out the online request form.

6. General Event Information

8. Name of Individual or Entity Making the Request*

10. Phone Number*

11. Email*

13. Information on Company/Organization

    If applicable, please provide background information on your organization/company. This can include history, years in Sugar Land, etc...

15. Date and Time of the Event (Start to End)*
    Date and Time of the Event (Start to End) Start Date

    Date and Time of the Event (Start to End) Start Time

    —

    Date and Time of the Event (Start to End) End Date

    Date and Time of the Event (Start to End) End Time

17. Title of event*

19. Event Location*

    Enter the exact location (address) of where the event will take place.

21. Description of the event (include website if available)*

23. Any promotional items available?

    If available, upload any flyer, program, or other resource about the event and your organization.

25. Who is the intended audience for this event?*

26. Who is going to be in attendance?*

28. Is the event*

    1. Invite Only
    2. Open to the Public

29. How many people are you expecting?*

31. Request Specifics

33. Who are you requesting?

    You can select more than one.

    1. Mayor Joe R. Zimmerman
    2. Council Member Himesh Gandhi
    3. Council Member Jennifer J. Lane
    4. Council Member Steve R. Porter

    1. Council Member Naushad Kermally
    2. Council Member Stewart Jacobson
    3. Council Member Carol K. McCutcheon
    4. Mayor and all City Council Members
35. If the Mayor is unavailable, would you like a Council Member attend in his place?

    1. Yes
    2. No

37. Expected Arrival Time*
    Expected Arrival Time

    Expected Arrival Time

39. What type of attire is appropriate for this function?*

40. Are spouses invited?*

    1. Yes
    2. No

42. How long do you expect the elected official(s) to be in attendance?*

43. Who is the contact person?*

    Who should be contacted with any questions on the day of the event? Include contact person’s name, office, cell & work number.

45. Where do you specifically expect the elected official(s) to be?*

    Name and address of facility including room number/name, city and zip code.

47. Will the elected official(s) be expected to speak?*

    1. Yes
    2. No

49. On what topic?*

50. For how long do you want the elected official to speak?*

52. Acknowledgement*

    1. I understand that speaking engagements that are technical in nature or pertain to the day-to-day operations of the City may be more appropriate for a City staff member to present.

    Please email citymgr@sugarlandtx.gov to request a city staff member attend or speak at your event.

54. Describe the specific function or participation the elected official(s) will have*

    Only attendance and presence?

56. On what topic and for how long?*

    Describe the speaking topic and for how long? Are you requesting a speech or informal remarks? Will there be other speakers at this event?

57. Is the elected official expected to acknowledge specific individuals in attendance?*

    If so, provide names and titles.

59. Will audio/visual equipment be available for a presentation, i.e., computer, screen, projector, etc.? *

    1. Yes
    2. No

61. Will there be other speakers at this event?*

    1. Yes
    2. No

62. Please list other speakers names and what they will be speaking on.*

64. Will you expect pictures to be taken of the elected official(s)?*

    If so, describe type of pictures, how the photos will be used, and where they will be shared.

66. Acknowledgement*

    1. I understand that the availability of elected officials is not guaranteed.
    2. I understand that the request must be submitted two weeks in advance of the event or function.

Leave This Blank:


68. 1. Receive an email copy of this form.
69. Email address

    This field is not part of the form submission.

70. Submit

* indicates a required field