City of Dickson Request for Inclusion on City Council Agenda

City of Dickson

Agenda Inclusion Request Form
COUNCIL INCLUSION REQUEST DEADLINE:

Requests for inclusion must be submitted by the close of day on the Monday before the Council meeting. Council meetings are held the first Monday of the month unless otherwise set by the Council.
Date:*

MonthDayYear
Today's Date
To request to be included on the agenda for a City of Dickson City Council meeting, please state the nature of the request:*
Name of individual submitting request:

First NameLast Name
Date of council meeting requested:*

MonthDayYear
Council meetings are held the first Monday of every month-unless rescheduled due to a holiday.
Name of individual or group requesting to appear before the Council:*
Address (City/State/Zip):*
Phone Number:*
Please enter a valid phone number.
Email:*
example@example.com
Resident of the City of Dickson?*

YesNo
City of Dickson's Policy For Public Comment Agenda Request Guidelines
I have read the City of Dickson's Policy For Public Comment Agenda Request Guidelines*
Should be Empty: