Mayor's Office 973-733-6400 Press Office 973-733-8004

Event Description Form

This form must be completed at least 14 business days before event for consideration

Event Title

Phone Number

Department

Event Date

Rain date *if event is outdoors

Type of Event:

Ribbon-cutting

Groundbreaking

Town Hall

Unveiling

Check Presentation

Panel discussion

Brief Summary of Event

Is this a public or private event?

Public

Private

Is this event open to press?

Yes

Purpose of Event

Expected/desired duration of Mayor Ras J Baraka's arrival and/or attendance

Program participants: (i.e. dignitaries, organizations, co-sponsors, etc.)

(PLEASE INCLUDE BIOS WHERE POSSIBLE AS AN ATTACHMENT)

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Run of Show. Please provide complete names and titles and any other biographical information on participants.

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3-5 Key Points you would like Mayor Baraka to touch upon:

Please attach supporting documents: (Ex: flyer, etc.)

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Social Media Accounts and hashtags used:

Other Comments