Form Center

Request & Protocol Form

2. Office of the Mayor-President

   <p style="font-size: 30px; text-align: center;">The Honorable Sharon Weston Broome</p>

   The Honorable Sharon Weston Broome

4. 15 Minutes with the Mayor

   <p style="font-size: 30px; text-align: center;">Request & Protocol Form</p>

   Request & Protocol Form

6. In the 2019 State of the City address, Mayor-President Broome pledged to provide East Baton Rouge Parish citizens with an opportunity to meet with her on a topic of their choice or share strategic solutions and recommendations that help to build a city of peace, prosperity and progress.

8. Established Protocol
   Must live within East Baton Rouge Parish; <br> One meeting per individual or organization; <br> Meeting request must be submitted 2-4 weeks in advance; and Audio/Photo options available at the discretion of Mayor Broome.

   Must live within East Baton Rouge Parish;
   One meeting per individual or organization;
   Meeting request must be submitted 2-4 weeks in advance; and Audio/Photo options available at the discretion of Mayor Broome.

9. Select Main Focus of Meeting (Please select ONLY one)

   1. Public Safety and/or Crime
   2. Health and Wellness
   3. Economic Development and/or Disadvantaged Business Enterprise (DBE)
   4. Workforce Development
   5. Public Works (i.e., Environmental Services, Transportation and Drainage, etc)
   6. Education or Youth Services
   7. Women and Children
   8. Innovative Ideas or Solution Recommendations

11.  

12. Other(Please Specify):

14. Briefly describe what you would like to specifically discuss with Mayor Broome (based on the area of focus you have selected):

16. To schedule a meeting with the Mayor, please complete this form.

18. Name of Requester:

19. Individual or Organization:

21. Contact Phone:

22. Email Address

24. Other Attendees: (Please Include Name, Title and/or Relation to Request):

26. Public Officials, Clergy or Dignitary:

28. Purpose of Organization(Summary or website):

30. Available date and time options will be confirmed with the requester once approved.
    All requests are subject to the availability of the Mayor and subject to change on short notice where a conflict presents itself.

    All requests are subject to the availability of the Mayor and subject to change on short notice where a conflict presents itself.

32. ***After you submit this meeting request, the Office of the Mayor-President will contact you via email. <u>You will not be contacted via phone. </u> Please monitor your spam/junk folder periodically to ensure that you do not miss any communication from the Office of the Mayor-President.

    ***After you submit this meeting request, the Office of the Mayor-President will contact you via email. You will not be contacted via phone. Please monitor your spam/junk folder periodically to ensure that you do not miss any communication from the Office of the Mayor-President.

Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

* indicates a required field