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Proclamation Request
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This form has been modified since it was saved. Please review all fields before submitting.
Name of person / organization requesting proclamation
*
Is requested proclamation for a person/organization housed in Plainville?
*
Yes
No
Contact Phone Number
*
Contact Email
*
Proclamation requests in the Town of Plainville must fulfill at least one of the following criteria to be eligible for consideration. Which criteria does this request fulfill?
*
Town-Wide Significance
Promote Diversity, Equity, and Inclusion
Recognize the contributions of a public official in Plainville or a group of public officials
Local Art and Cultural Celebrations
Charitable Events
Name of Event / Organization / individual to be written on proclamation
*
Brief summary / background of the event, service, or organization
*
Points to be added as "Whereas" Statements within Proclamation (Minimum four)
Please indicate the type of time recognition desired. Example(s): Leonard Nimoy DAY, Nurses WEEK, Black History MONTH
*
Day
Week
Month
Proclamation Start Date
Proclamation Start Date
Proclamations are presented to individuals and organizations at Select Board meetings. Please indicate how you intend on accepting the proclamation
*
Proclamation to be presented at Select Board meeting
Proclamation to be picked up at the Town Administrator's Office
In the case this request is not granted a proclamation, would you like the request considered for the town's other ceremonial documents? (Not required)
Certificate of Recognition
Congratulatory Letter
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