You can always press Enter⏎ to continue
Welcome to The Virtual Town Hall Question Form
Hi there, please fill out and submit this form.
6
Questions
START
1
Name
Previous
Next
Submit
Press
Enter
2
Question/Issue
Please type any question or issue that you would like the panelists to address.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
3
Panelist you’re addressing
Please choose from the following: Commissioner Thomasina Coates, Senator Arthur Ellis (District 28) Delegate Edith J. Patterson, Ed. D (District 28) Delegate Debra M. Davis, Esq. (District 28) Dyotha R. Sweat; President NAACP Charles County Branch Pastor Michael Rogalski, LifePoint Church Chief Equity Officer Charmaine Brown, Charles County Government Deputy Director of Planning and Growth Management Jason Groth, Charles County Government Director of Economic Development Darrell Brown, Charles County Government
Previous
Next
Submit
Press
Enter
4
Email Address
Previous
Next
Submit
Press
Enter
5
Phone (optional)
Previous
Next
Submit
Press
Enter
6
District (optional)
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
6
See All
Go Back
Submit