Scheduled Public Appearance Request

Exhibit B 
 
Request for Scheduled Public Appearance 
at a City Council meeting 
 
Please submit this form if you are requesting to be added to the Council Meeting 
agenda and address the City Council under Scheduled Public Appearances. 
 
A maximum of three minutes is allowed under Scheduled Public Appearances.  Only 
one person at a time will be allowed to speak to the Council during the presentation. 
 
Name: 
Address: 
Phone: 
Email: 
 
Name of organization you are representing (if applicable): 
 
 
Describe the topic of the Scheduled Public Appearance and include any background 
information. 
 
 
 
 
 
 
Please indicate if you have a PowerPoint presentation or handouts. 
(Please email the presentation to the City Clerk’s Office no later than 12:00 p.m. on the 
date of the Council meeting.)  
 
 
 
 
 
 
NOTE: By submitting this form, you acknowledge that the information is a public record 
and is subject to all public records laws.