Councilor Avalos Constituent Days Meeting Request

Thank you for your interest in meeting with Councilor Avalos.

Please use the form below to request a 20-minute in-person appointment during the designated date and time block.

All meetings will be held at Midland Library. Priority will be given to constituents, business owners, and community groups in District 1. Please note that lobbyists are not eligible for these appointments.

After you submit the form, a staff member will follow up to confirm your appointment.

If you have any questions, feel free to contact us at: Councilor.Avalos@portlandoregon.gov.
For assistance filling out the form, please call 311.

Sign in to Google to save your progress. Learn more
Please select the date you would like to meet with Councilor Avalos.
Appointments are 20 minutes long and will take place between 11:00 AM and 1:00 PM at Midland Library

Note: Additional dates may be added as availability opens up.
*
For the date you selected above, what is your time preference? Please select all that may work with your schedule. *
Required
What is your full name? *
Email address? *
Phone number? *
What is your preferred contact method for appointment confirmation *
Required
Are you a resident of City of Portland District 1?  *
What would you like to discuss with Councilor Avalos? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Portland.

Does this form look suspicious? Report