Skip to Main Content
Do Not Show Again
How Do I
Select a Category
Clerk and Recorder
Elections Facility Tours
Public Works and Development
Racial Equality Feedback
signing in or creating an account
, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
Request for a County Commissioner to attend an event
Sign in to Save Progress
This form has been modified since it was saved. Please review all fields before submitting.
Interested in having an Arapahoe County Commissioner speak at your event? Please use this form to request a Commissioner appearance. Please note that because of the large volume of requests and due to busy schedules, we cannot always guarantee that a Commissioner will be available. We will follow-up within three business days after receiving this form to discuss options.
Please include dashes
Is the requester the main point of contact?
If answer above is no, please fill out below
Contact First Name:
Contact Last Name:
Contact Phone Number:
Name of group/organization:
Purpose of group/organization:
Event Date and Time
Event Date and Time Start Date
Event Date and Time Start Time
Event Date and Time End Date
Event Date and Time End Time
Date of event MUST be at least one week in advance with the understanding all requests might not be accommodated
Is this date fixed or is it flexible?
Event Description and Purpose:
If other, please describe
Estimated number of people in attendance:
Who would you like to attend:
Carrie Warren-Gully, District 1
Jessica Campbell-Swanson, District 2
Jeff Baker, District 3
Leslie Summey, District 4
Bill L. Holen, District 5
Will they need to speak at this event?
If other, please describe:
Desired length of time to make remarks:
If more than one Commissioner is requested to attend and speak, please use the other box to describe time needed per Commissioner
If other, please list amount of time
Speaking points or addition information please attach
Please attach and agenda and/or provide names/topics of other speakers
Do you anticipate media attendance or coverage?
Notes or special instructions
Leave This Blank:
Receive an email copy of this form.
This field is not part of the form submission.
* indicates a required field
▲ Back to top
Licenses, Permits and Approvals
Slideshow Left Arrow
Slideshow Right Arrow