Mayor Request Form

Contact Information

Organization(Required)

Description of Organization(Required)

Organization's Website Address

Contact Phone Number(s)(Required)

Email

Event Information

Event Name(Required)

Event Date(Required)

Site Contact Information(Required)

Name and cell phone number of on-site contact at the time of the event.

Additional Directions to the Site Location (as needed)

Parking Directions

Information about necessary parking permits or a reserved parking spot for the Mayor.

Event Details

Mayor's Requested Role in the Event(Required)

Is the Mayor being asked to make welcoming statements at an event, give a short speech, or introduce others? If this request is on the behalf of someone else, (i.e. Proclamation), what is that person's name?

Topic/Purpose of Mayor's Speech

Proclamation Request

What is the topic of the requested Proclamation?(Required)

What is it about your topic that you want to see proclaimed in the City of Champaign?(Required)

Tell us about what makes your subject great! Please be as detailed as possible. If you have a suggested (pre-written) Proclamation for the Mayor to consider, please indicate that here then email it to citymanagersoffice@champaignil.gov.

What is the preferred timing of the requested Proclamation?

If you wish to highlight a specific date, week, or month, please explain.

Eagle Scout Recognition

Name of the Eagle Scout(Required)

Troop Number(Required)

Special Honors

Date of Rank Promotion

Meeting with Mayor

Name(s) of Attendee(s)(Required)

Meeting Topic(Required)

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Email

This field is for validation purposes and should be left unchanged.

City Council