Request A Proclamation

1. Person, group or organization being recognized. (Spell precisely as desired on the document.)

2. For what are they being recognized or honored?

3. Have they received a proclamation for this before? If so, when?

4. How will the proclamation be delivered?

5A. Date of Event.

5B. Please include as many details about the event as possible.

6. Additional information about the organization or person – including a website, mission statement, list of accomplishments/awards, work experience, future plans, etc. (The proclamation may be denied if not enough relevant information is provided.)

7. What specific information would you definitely like to be included in the proclamation? Include a draft if possible.

8. What is the proclaimed day, week or month?

10. Contact Phone Number (This person may be contacted for additional information regarding the proclamation):

11. Contact Email (This person may be contacted for additional information regarding the proclamation):