OFFICIAL SITE OF THE STATE OF NEW JERSEY

Department of Community Affairs

Event Attendance Request Form

Jacquelyn A. Suárez, Commissioner

The New Jersey Department of Community Affairs welcomes invitations for the Commissioner’s attendance at events. To request the Commissioner’s attendance, please complete and submit the form below.

Please be aware that due to the number of requests for the Commissioner’s attendance, submission of this form does not guarantee a response from our office. A representative will contact you if there are any follow-up questions about the event.

Due to State ethics rules and other requirements, please be aware that any event promotions or advertisements – flyers, press releases, or other messaging – that seek to include the Commissioner’s name, title, or photograph related to any event must receive prior approval by the DCA Communications Office. Information on how to receive such approval will be provided upon confirmation of the Commissioner’s attendance at an event.

Thank you for your invitation.

Event Contact Information

First Name :

Last Name :

Email Address :

Phone :

Cell Phone (if applicable, for the day of the event) :

Second Point of Contact

First Name :

Last Name :

Phone :

Email address :

Cell Phone (if applicable, for the day of the event) :

Event Logistics

Event Name :

Event Sponsor :

Date :

Event Time From : Value is not selected

Event Time To : Value is not selected

Is there a website for more information?

Yes

No

Please list the website :

Location

Is this a virtual event?

Yes

No

Please provide the link :

The event is :

Inside

Outside

Rain location (if applicable) :

Is this a Fundraising event?

Yes

No

Is the Sponsor a Non-Profit Organization?

Yes

No

Has the Sponsor received funding from DCA?

Yes

No

Approximate Fiscal year?

Please identify the program :

Time of the Commissioner's participation From : Value is not selected

Time of the Commissioner's participation To : Value is not selected

Who will greet the Commissioner :

Event Description :

Purpose of event :

Dress Code :

Formal

Business Attire

Casual

Other

Other Dress Code :

Event directions : (if necessary, please attach a hard copy)

Parking arrangements for the Commissioner:

Core Audience :

Estimated number of attendees :

Estimated number of attendees for the Commissioner's portion :

Is this an annual event?

Yes

No

Has the Commissioner spoken at this event before?

Yes

No

Is the Governor Attending?

Yes

No

Invited

Are there other dignitaries attending?

Yes

No

Invited

Please list other dignitaries:

How will the event be promoted?

Will a fee be charged to attend?

Yes

No

Fee Amount?

Will a meal be provided?

Yes

No

How many staff can accompany the Commissioner?

Will the event be professionally photographed?

Yes

No

Will the photos of the Commissioner be made available to DCA shortly after the event?

Will the event be videotaped?

Yes

No

Will the footage be posted on social media and shareable?

About the Commissioner's Role

Please describe the Commissioner's role, speaking topic and/or message :

Who will introduce the Commissioner?

From where will the Commisioner deliver remarks?

Will there be a microphone?

Yes

No

Will there be a podium?

Yes

No

Length of time the Commissioner is expected to speak :

Will there be a question-and-answer period?

Yes

No

Maybe

Is this a panel?

Yes

No

Is there a conference call to discuss this event?

Yes

No

Please include names and topics of other panelists :

Please provide details of the conference call :

Will other panelists use Powerpoint or distribute handouts?

Yes

No

Social Media

Does your organization have a social media presence, and if so on which channels :

Provide your social media handles so that we can share from your sites.

Please tag DCA for awareness if the event will be promoted on social media.

Press/ Communications

Is the event open to the public?

Yes

No

Is the event open to the press?

Yes

No

Is there an opportunity to distribute publications at the event?

Yes

No

Please list relevant media :

Attachment Section

Please attach the following items as background, if applicable :

Event agenda/ Run of show with breakdown of times throughout event

Suggested talking points

Press materials/ DRAFT press materials for the event

Speaker handouts/ presentations/ bios

Event Directions

Upload here :

Click below :

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