Request for Official Duties

Please complete this form to request the Mayor, Councillors or CEO to undertake official duties at an event or function.

Questions? Phone Mayoral and Councillor Support 5128 6154 or email councilsupport@latrobe.vic.gov.au.

Your Details

Full Name

Email Address

Contact Number

Who are you requesting?

Mayor

Councillor

CEO

Event Information

Name of the event

Event Date

Event Time

Event Description

Event Contact (if different from above)

Contact Number (if different from above)

RSVP Date

RSVP to (Phone Number or Email)

Information for Mayor/Councillors/CEO

Arrival Time

Departure Time

Venue/Location

Dress Code

Please provide contact name and mobile number for on the day, and where to meet

What is the expected role of the requested guest?

Speech Required?

Yes

Please Upload Agenda

One file only.
256 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

Speech Requirements

Length of speech (time allocated)

Please list the order of all speakers at your event

Estimated number of attendees

Please list any significant guests or groups represented

What is Latrobe City Council’s involvement with your event?

What is the purpose of your event? (This will inform the key messages of the speech)

Are there any potential issues which may be raised at your event?

Background information or other relevant information to inform the content of the speech

Additional Information

Attachment 1

One file only.
256 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

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