Meeting Request Form — Together for Akron

Let’s talk.

Welcome to the Schedule Request Form for Shammas Malik. We sincerely appreciate your request, but please be aware that due to the volume of invitations received, we are unable to accommodate all of them. This form is the best and most direct way to submit your request to us.

You also are welcome to share your thoughts or ideas for Akron on our digital idea board.

What are you requesting?

Meeting

Event

If the Mayor-Elect is not available, would you be open to hosting a surrogate in his stead?

Yes

Name of individual/organization requesting the meeting:

First Name

Last Name

Please describe what you are looking to discuss with Mayor-Elect Malik.

What are the names and roles of individuals in attendance?

Date

Even if flexible, please put your preferred date.

YYYY

Start Time

Even if flexible, please put your preferred time.

Hour

Minute

Second

End Time

Even if flexible, please put your preferred time.

Hour

Minute

Second

Date/Time Flexibility

Yes

Venue Name

If you are flexible on location, please write 'FLEXIBLE.'

Venue Location / Street Address

If you are flexible on location, please write 'FLEXIBLE.'

City, State, Zip

Estimated Number of Attendees

Contact Person's Name

First Name

Last Name

Cell Phone or Direct Line

(###)

###

####