Request the Commissioner for an Event

Name of Organization

Street Address

Apt / Suite / Other

City

State

Zip

Phone

Website

Event Coordinator/Contact Person

Email Address

Mobile Phone

County ...

Name of Event

Type of Event

Select all that apply

Exact Location (including full address)

Event Date

Event Start Time:

Event End Time:

Event is

Dress code (if applicable)

Event theme (if applicable)

Approximate number of attendees

What is the age range of the audience?

Is the event open to the news media?

Purpose of event

Event/Organization Background

Note : In next screen, please attach flyer or supplemental information if available as PDF document.

Requested arrival time of the Commissioner

How long is the Commissioner required to be present for the event?

What time will the Commissioner speak?

Preferred length of comments?

Is there a topic or subject that should be addressed in the Commissioner's remarks?

Note : In next screen, please attach supplemental information if available as PDF document.

Will there be a podium for speakers/presenters?

Will the Commissioner be asked to give a presentation?

What A/V capabilities are present at the event site and how will the Commissioner present?

What format should the presentation be?

Will internet be available at the event site?

Should the presentation be submitted before the event date?

When should the presentation be submitted?

How and to whom should the presentation be submitted?

Please list COVID-19 guidelines that will be in place (e.g., temperature scans):

Number of attendees

Description of seating arrangements

Are masks required?

Note : In next screen, please attach run of show as PDF document. (If the run of show is not complete, you must email it to Neshanta.Banks@gwinnettcounty.com at least seven days in advance of the event.)

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D3Commissioner For An Event Application Form

Organization

Primary Contact

Event Details

Commissioner's Role

COVID-19 Precautions