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.
Sign in to Google to save your progress. Learn more
Email *
Who are you requesting?
If the Commissioner/Deputy is unable to attend would you like us to offer another CDA representative?
Clear selection
What is the official name of the event/hosting organization? *
What is the date of the event? *
MM
/
DD
/
YYYY
In what city is this event? *
Specific event location: Name of venue or building with street address? *
What time will the event begin?
Time
:
What time will the event end?
Time
:
What time will the Commissioner speak, if applicable?
Time
:
How long will the Commissioner speak, if applicable?
Clear selection
What time should the Commissioner arrive (or logon if virtual)?
Time
:
What role will the Commissioner play at this event? Check all that apply. *
Required
Who will introduce the Commissioner or is the Commissioner introducing anyone?
What topics would you like the Commissioner to discuss and is there anyone in the audience you would like her to acknowledge?
Audience size and makeup? # Of people, background (students, parents, educators, elected officials, etc.)
Brief description/history of the event: concerns, past issues, relevant legislation etc.
Describe the staging -check all that apply:
If slides are an option when do they need to be submitted, to who (email address), and in what format?
Is the event open to the media? If so, who is confirmed/expected?
How will you be promoting the event?
Please provide links to the Facebook page for your organization and/or event:
Please provide a Twitter handle and preferred hashtag(s) for your organization and/or event:
Is a meal being served?
What is the expected attire/dress code?
Clear selection
Is the event indoors or outdoors?
Clear selection
By what date do you need confirmation? (We typically do not schedule more than 6 weeks out)
MM
/
DD
/
YYYY
Point of contact on the day of the event Name, Cell Phone Number, Email, Address, Organization, and Title:
What is you name?
What is your phone number?
Please provide another information that you would like us to know?
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of State.co.us Executive Branch. Report Abuse