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2. Proclamations are ceremonial documents signed by the Mayor and issued to Shaker Heights residents and organizations. Request a mayoral proclamation for:

   • Anniversaries
   • Commemorations
   • Milestone birthdays
   • Remembrances
   • Retirements
   • Reunions
   • Scout awards
   • Special events

   
   Please submit requests at least two weeks in advance. Requests for international or national matters, ideological or religious beliefs or individual conviction will not be considered. .
6. Requestor Contact Information
8. Contact Name*
10. Contact Phone Number*
11. Contact Email*
15. Event / Recognition Information
17. Event/Recognition Type*

    1. Accomplishment/Honor/Commemoration
    2. Anniversary
    3. Arbor Day
    4. Scout Awards (Eagle Scout, Girl Scout)
    5. In Memoriam/Remembrances
    6. Retirement
    7. Reunion
    8. Special Event
19. Name of Event or Recognition*
21. Event Location
22. Date of Event
    Date of Event
26. Recipient Information
28. Full Name of Recipient*
30. Provide 5 to 7 Facts About the Recipient*
    Include facts relevant to the requested proclamation, such as marriage details, children, grandchildren, education information and dates, how long living in Shaker Heights (if applicable), religious/church affiliations, career information, charitable/community organizations, birthdate, date of death (if applicable), where/when proclamation will be read or distributed, etc.
Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field