Agenda Item Request Form
Name
*
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Meeting Date
*
-
Month
-
Day
Year
Date
Type of Meeting
*
Board Meeting
General Member Meeting
Other
Agenda Item
*
Timeframe requested (# of minutes)
*
Description of Agenda Item
*
Who will be speaking at the meeting?
*
Speaking alternate
Role of speaker:
*
Please Select
Board Liaison
Chair
Secretary
General Member
Role of alternate:
Please Select
Board Liaison
Chair
Secretary
General Member
Document To Share (optional)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Document To Share (optional)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: