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Commissioner of Agriculture Event Request Form
Please complete the form below to request a meeting with Commissioner Kate Greenberg or a CDA representative. Please email
ariana.antonio@state.co.us
any supplemental documents including agenda. We typically do not schedule more then 6 weeks out.
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* Indicates required question
Email
*
Your email
What role will the Commissioner play at this event? Check all that apply.
*
Keynote Address
Formal Remarks
Informal Remarks (toast or thank you at casual event)
Panel member
Moderator
Roundtable discussion
Q&A
Meet & Greet only
Tour (Farm, Ranch, or operating facility)
Other:
Required
What is you name?
Your answer
Who will introduce the Commissioner or is the Commissioner introducing anyone?
Your answer
Is a meal being served?
Your answer
What time will the event end?
Time
:
AM
PM
Please provide links to the Facebook page for your organization and/or event:
Your answer
Describe the staging -check all that apply:
Mic
Podium
Stage
Slides okay
Seating for audience
Panel layout
Point of contact on the day of the event Name, Cell Phone Number, Email, Address, Organization, and Title:
Your answer
How long will the Commissioner speak, if applicable?
3-5 minutes
5-15 minutes
15-30 minutes *MAX*
Other:
Clear selection
Brief description/history of the event: concerns, past issues, relevant legislation etc.
Your answer
By what date do you need confirmation? (We typically do not schedule more than 6 weeks out)
MM
/
DD
/
YYYY
What is the official name of the event/hosting organization?
*
Your answer
What is your phone number?
Your answer
If slides are an option when do they need to be submitted, to who (email address), and in what format?
Your answer
What time will the Commissioner speak, if applicable?
Time
:
AM
PM
What time will the event begin?
Time
:
AM
PM
Is the event indoors or outdoors?
Indoors
Outdoors
Clear selection
If the Commissioner/Deputy is unable to attend would you like us to offer another CDA representative?
Yes
No
Clear selection
Please provide another information that you would like us to know?
Your answer
What is the date of the event?
*
MM
/
DD
/
YYYY
Who are you requesting?
Kate Greenberg, Commissioner of Agriculture
Jordan Beezley, Deputy Commissioner of External Affairs
Hollis Glenn, Deputy Commissioner of Operations
Subject Matter Expert
In what city is this event?
*
Your answer
Specific event location: Name of venue or building with street address?
*
Your answer
What is the expected attire/dress code?
Casual
Business Casual
Business
Western Elegant
None
Other:
Clear selection
Please provide a Twitter handle and preferred hashtag(s) for your organization and/or event:
Your answer
Audience size and makeup? # Of people, background (students, parents, educators, elected officials, etc.)
Your answer
How will you be promoting the event?
Your answer
What time should the Commissioner arrive (or logon if virtual)?
Time
:
AM
PM
Is the event open to the media? If so, who is confirmed/expected?
Your answer
What topics would you like the Commissioner to discuss and is there anyone in the audience you would like her to acknowledge? Please include any people to thank.
*
Your answer
A copy of your responses will be emailed to the address you provided.
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