Community Presentation Request

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PLEASE READ BEFORE SUBMITTING FORM:
If you wish to request a Community Group Presentation at an upcoming City Council meeting, please fill out this form. Under the Shoreline City Council Rules of Procedure, Section 5.4, the Council shall make available at one meeting of each month, a Community Group Presentation. The order of business shall omit Council Reports and include Community Presentations following the Consent Calendar. The intent of the presentations is to provide a means for non-profit organizations to inform the Council, staff, and public about their initiatives or efforts in the community to address a specific problem or need. The presentations are available to individuals who are affiliated with a registered non-profit organization. In order to schedule the presentation, two Councilmembers under Rule 3.2B must sponsor the request. The presentations shall be limited to 30 minutes, with approximately 15 minutes for the presentation and 15 minutes for questions.

If you have any questions, please contact the City Clerk at (206) 801-2231 or jsmith@shorelinewa.gov.

NOTICE: This survey will time out if this form has been open on your screen for more than 30 minutes. In this instance, please refresh the page before filling out and submitting.

Upon review of your request, staff from the Council Office will contact you to discuss arrangements.

Please correct the fields below:

Please correct the field(s) marked in red below:

REQUEST FOR COMMUNITY PRESENTATION BEFORE THE SHORELINE CITY COUNCIL

This form must be returned to the Shoreline City Council Office four (4) weeks prior to the City Council meeting date requested. For confirmation, staff from the Council Office will contact you to discuss arrangements

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Council Meeting Date Requested:

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Name:

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Title or Position:

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Nonprofit Organization:

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Nonprofit Organization:

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Registration #:

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Address:

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Email Address:

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Phone Number:

Phone Number:ext.

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Website:

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Topic:

(Please provide an overview of the presentation you wish to make and statement of action you wish Council and/or the community to take if relevant.)

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Topic: (Please provide an overview of the presentation you wish to make and statement of action you wish Council and/or the community to take if relevant.)

I have read the Council Rules of Procedure, section 5.4, and by signing below affirm that my presentation will comply with this rule.

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I authorize use of my electronic signature for this request as submitted here:

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I authorize use of my electronic signature for this request as submitted here:

The City of Shoreline will not discriminate against qualified individuals with disabilities in the City’s services, programs or activities. All meetings are wheelchair accessible. Reasonable accommodations for individuals with disabilities are available upon request. Call the City Clerk's Office at (206) 801-2231 at least 48 hours before the meeting; TTY service (206) 546-0457.

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Email Address

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