Request a Visit

Event Request Form

If you would like Secretary of State Frank LaRose to appear at your event, please provide the following information. Please be as detailed as possible. If you have any questions, please contact Monique Cox-Moore, director of Community Engagement & Initiatives at (614) 254-4057.

Personal Information

Are you female?
Are you a minority?
Are you a veteran?
Are you disabled?
Do you have a child or family member in the military?
Do you have a family member that is a veteran?
Would you like to be part of our Diversity Inclusion Team?
Are you interested in starting a business?
Are you interested in a PowerPoint presentation by our staff on the following?

If you would like to share your social media accounts, please list them below

Church Information

Business Information

Event Information

Request Type

Location Information

Contact Information

Event Information

Would you like a commendation to commemorate the event?
Is this a public event?
Will media be present?
Is your organization any of the following?