Request for Deputation / Presentation

Request for Deputation / Presentation
Committee:*
Meeting Date:*

DayMonthYear
Deputation Information
Type of Deputation:*
Agenda Item:
Agenda Title:*
Is the presentation in support or against the report recommendation? (contained within the agenda)*

SupportAgainst
Presenter Information
Name of Presenter*

First NameLast Name
Preferred pronouns/title
Organisation:*
Email Address:*
Mobile Number:*
Additional Attendees
Please start a new line for each attendee
Special Requirements: In the interest of accessibility and inclusion for people with disabilities, please identify if you have any special requirements:*

YesNo
If yes, please detail below:
Presentation Information
Brief Outline of Deputation:*
Will there be a PowerPoint Presentation?*

YesNo
If yes, please attach

Cancelof
Acknowledgements
In submitting this request, you acknowledge that your request form and presentation content will be published to the Planning Online website as part of the agenda.*

YesNo
I acknowledge that if my request or accompanying documents are not submitted within the required timeframe, they will not be accepted.*

YesNo
Please attach all accompanying documents to this request. Late submissions will not be accepted. Handouts or PowerPoints will not be accepted on the day of the meeting.
Please verify that you are not a robot*
Should be Empty:

Deputation Information