Form Center

2. This form must be submitted at least 30 days prior to the requested presentation date. All sections must be completed, including proposed draft language for the proclamation. Submission does not guarantee approval. Final decisions are made by the Mayor and/or City Council.

6. REQUESTOR INFORMATION

8. First Name*
9. Last Name*
11. Address*
13. City*
14. State*
15. Zip Code*
17. Phone Number*
18. Email Address*
20. Organization Name (if applicable)

24. PROCLAMATION DETAILS

26. Proposed Title of Proclamation*
27. Requested Recognition Date*
    Requested Recognition Date
29. Will this be presented at a Council Meeting?*
    -- Select One --YesNo
30. Has this been recognized by the City before?*
    -- Select One --YesNo

34. BACKGROUND INFORMATION

36. Summary of the occasion or event (100-200 words)*
38. Why is this significant to the City of White Settlement?*
40. Any key facts of historical milestones to include?

44. DRAFT LANGUAGE (REQUIRED)

    To see sample proclamations, CLICK HERE.

46. Your Written Proclamation*

    Please include up to four proposed 'WHEREAS' statements and a concluding statement. The City Secretary's Office reserves the right to make formatting edits.

50. AGREEMENT

52. I affirm the information provided is true and accurate.*

    1. I affirm
53. I understand that submission does not guarantee approval.*

    1. I understand
55. DIGITAL SIGNATURE (TYPE YOUR NAME BELOW TO DIGITALLY SIGN DOCUMENT)*
Leave This Blank:


57. Submit

* indicates a required field