Congressional Meeting Report Form PDF Print E-mail

Congressional Meeting Report Form

Your State:*
First Name*
Last Name:*
Your email address:*
Congressional Office Met With* Representative
Senator
Officeholder's First Name:
Congressional District
Contressional Office Met with Senator
Representative
If you met with staff members, please list thier full names and positions, if known:
How many volunteers were present at this meeting?
List the full names of all volunteers in your group
Were any organizations represented in your meeting
Provide the name(s) of the organizations in the box below.
How would you describe their position on the bill?* Already a Co-sponsor & ready to take more action
Already a cosponsor but unwilling to take more action
Very Interested
Interested
Neutral
Disinclined
Not Interested
Against
What follow-up is needed? What are your next action steps?
Additional Comments
Where did this meeting take place?
Location Details
Meeting Date
 

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