Move To Amend's National Lobby Day Questionnaire

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Complete this questionnaire to provide detailed information on your meeting schedule and to submit support request for the National Lobby Day. Please contact Saleem Chapman at saleem@movetoamend.org if you have any questions.

Your Name *

What is your congressional district (Please input your response as state abbreviation followed by district number, e.g., PA-03)? You can look up this information at house.gov/representatives/find-your-representative. *

Who are the members of Congress with whom you have scheduled meetings? (Select all that apply) *

Your congressional district's House member

A neighboring congressional district's House member

Your state's senior senator

Your state's junior senator

Other:

Required

What time is your first meeting schedule? *

Time

If applicable, what time is your second meeting schedule?

Time

If applicable, what time is your third meeting schedule?

Time

Have you participated in a lobbying meeting before?

Yes

Clear selection

Please select a response that corresponds with your comfort level with lobbying.

I am inexperienced and would like to be paired with a National Team staff member for meetings.

I am fairly new to lobbying and would like paired with a fellow Summit attendee who has experience.

I would be comfortable lobbying alone if I received coaching and training on how to lobby.

I have lobbying experience and feel comfortable conducting a meeting alone.

I could serve as a coach to a fellow Leadership Summit attendee with limited experience.

Would you like to receive background information about your member of Congress in your lobby packet? *

Yes

Is there any other additional information you would like to provide?

Submit

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