PCC Day at the Capitol Participation Request
(For faculty, staff, and volunteers)

As the largest institution of higher education in the state, PCC creates opportunities for nearly 50,000 students each year – many of whom are the first in their families to attend college. If your life has been changed by PCC, we hope you’ll come and share your experiences with our state government. 

Please note: The Capitol building is currently under construction, therefore we have to limit the number of participants. Please fill out the form below so that we can get to know you better. We'll be in touch soon with details about participation.
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Email *
First Name *
Last Name *
Email Address *
Phone Number *
Mailing Address
What is your role at PCC? *
Please select your preference for the luncheon
 *
Do you have any dietary restrictions?
Please note: We may not be able to accommodate all of the allergens and/or preferences listed below. 
Are you someone who experiences disability and do you require adjustments or services? If so, please specify:
Do you have transportation to Salem, Oregon? *
Who is your Oregon representative?
If you're unsure, this website might be able to help.
Who is your Oregon senator?
If you're unsure, this website might be able to help.
Do you have experience advocating at the Capitol or meeting with legislators?
 *
How has PCC made a difference in your life?
Please write a brief description. 
A copy of your responses will be emailed to the address you provided.
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