Appearance Request

Thank you kindly for inviting Congressman Jamie Raskin to participate in your event. We need some additional details to consider your request. Please complete and submit this form at your earliest convenience, even if some details will need to be completed closer to the event. Please note that completion of this form does not guarantee the Congressman’s attendance or participation.

Appearance Request

Note: Fields marked with an * are required.

Your Contact Information

Requestor First Name *

Requestor Last Name *

Requestor Email Address *

Requestor Phone Number *

Organization Name *

Preliminary Information

Title of Event *

Brief one to two-sentence description of the event *

Requested Role *

Event Location *

Date and Time of the Event *

Event Details

Sponsoring Organization(s) – Please list all organizations sponsoring or funding this event. If possible, include website links *

Mission of the Sponsoring Organization(s) *

Day-of Point of Contact First Name *

Day-of Point of Contact Last Name *

Day-of Point of Contact cell phone number *

Day-of Point of Contact Email *

Provide a full event run-of-show - Include when you would like Rep. Raskin to join and when he will be able to depart. *

What topics do you suggest Rep. Raskin cover in his remarks? *

Include the names of any individuals within your organization’s leadership or attendees who should be thanked in the Congressman’s remarks.

List the names of any other invited Members of Congress, public officials, dignitaries, or special guests:

Expected Number of Attendees

Attendee Type *

How many MD-08 constituents do you anticipate attending? *

Is a citation/certificate of recognition needed?

If yes, please provide information including honoree names and accomplishments to aid in drafting a certificate.

Will you reserve a parking spot for Rep. Raskin? *

Media and Event Promotion

NOTE: Please do not publicly share ANY promotional material before receiving approval from our office for distribution. This includes flyers, social media posts, and graphics, and any use of the Congressman’s name, photo, or likeness, as well as any advertisement of his attendance.

Our office needs to approve all promotional materials before distribution.

How will your organization be promoting this event? *

Will press be invited? *

Will the event be recorded or live streamed? – If yes, please share information on the distribution of the recording/live stream. *

Security

Does the venue provide security? – If yes, please provide the name, phone number, and email for the security point of contact. *

Have you coordinated with law enforcement? – If yes, please list the agency name, and the point of contact name, email and phone number. *

Human Validation Google Recaptcha Label