Request the Mayor to Speak at Your Event
You can request to have Mayor Perkins attend and/or speak at your event by filling out this form. Please provide as much detail as possible. All forms should be completed at least 10 business days in advance of the event. Please understand that completion of this form does not guarantee Mayor Perkins' availability.
Email address *
Name of Organization *
Your answer
Name of Event *
Your answer
Date of Event *
MM
/
DD
/
YYYY
Time of Event *
Time
:
Location of Event *
Your answer
Is the event indoors or outdoors?
Is this event open to the media? *
Is this event open to the public? *
Brief History/Background of the Organization: *
Your answer
Brief Description of Event: *
Your answer
Specific topic(s) you would like the Mayor to discuss? *
Your answer
Speaking start time on the agenda? *
Time
:
Length of speaking time? *
Your answer
Attire? *
Your answer
Who will greet the Mayor when he arrives? *
Your answer
Who will be the Point of Contact (Name & Cell #) on day of event? *
Your answer
Point of Contact (Name & Cell #) for the building for security contact? *
Your answer
How will the room be setup? *
Your answer
Will the Mayor be speaking from a podium or seated? *
How many people will be in attendance? *
Your answer
Who will introduce the Mayor? *
Your answer
Who will speak after the Mayor and is he expected to introduce the next speaker? *
Your answer
Will there be other elected officials in attendance? If yes, who? *
Your answer
Note:
There will always be at least 2 staffers accompanying the Mayor as well as 1 Security Detail. We can finalize prior to the event if additional individuals will be with the Mayor.

The Mayor's picture and bio can be found on the website, https://www.shreveportla.gov/ Please let us know if you would like additional information.

We reserve the right to deny any request. As such, please understand that completion of this form DOES NOT guarantee Mayor Perkins' availability.

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