JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Sign up for Senator Chang-Díaz's Office Hours
Senator Chang-Díaz's Jamaica Plain neighborhood liaison, Lena Shapiro, will be holding office hours on December 14 from 5 to 6 PM. Share your thoughts with our team by signing up below:
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name:
*
Your answer
Email address:
*
Your answer
Neighborhood of residence:
*
Your answer
What questions or concerns would you like to discuss?
Your answer
Choose all of the time slots that would work for you on December 14. Please note that office hours are first-come, first-serve. You will receive an email confirming your time slot.
*
5:00 - 5:15 PM
5:15 - 5:30 PM
5:30 - 5:45 PM
5:45 - 6:00 PM
Required
I would like to receive email updates from Senator Chang-Díaz.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Senator Chang-Díaz.
Report Abuse
Forms
