Request Meeting with a Councillor

First Name

Last Name

Email

Phone

Are you requesting this meeting on behalf of an organisation?

Organisation Name

Are you a not-for-profit organisation?

Who will be attending this meeting?

Email(s) of attendee(s)

Organisation Website Address

Please list each issue to be raised with the Councillor/s. Please be specific and do not use acronyms.

Will you be requesting financial assistance?

What are your desired outcomes of the meeting?

Have you previously contacted the Council or a Councillor about the issue?

Who, when and what was the outcome?

If you have any access or support requirements in order to participate fully, please let us know to ensure we can arrange any reasonable adjustments

Further relevant information

Please attach any background information that may assist

Meeting Request