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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. Meetings will be scheduled on the 1st and 3rd Wednesday of each month for 15 minutes.

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 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 at the discretion of Mayor Broome.

9. Select Main Focus of Meeting

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

16. Name of Requester:

17. Individual or Organization:

19. Contact Phone:

20. Email Address

22. Other Attendees:

24. Public Officials, Clergy or Dignitary:

26. Purpose of Organization(Summary or website):

28. Preferred Day (Select One):

    1. 1st Wednesday
    2. 3rd Wednesday

29. Perferred Month:

    1. February
    2. March
    3. April
    4. May
    5. June
    6. July
    7. August
    8. September
    9. October
    10. November

31. 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.

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32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

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