If you answered "other" above and prefer to say, please write pronoun below:
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State *
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Full Mailing Address *
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Best Phone Number *
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Race
If you answered "other" above and prefer to say, please indicate your race below:
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In which chamber do you serve? *
Is your district rural or have a rural component? *
Are you in a leadership position and if so, what is that position? If no, please type NA *
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Please indicate whether you are in the majority or minority in your state. If you are an independent, click "other." *
Do you currently sit on a committee that hears issues related to agriculture? *
If you answered "Yes" to the above question, which committee(s) do you serve on? If the answer is "no" please type in NA *
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If you serve on a committee that hears issues related to agriculture, are you a ranking member? If so, please tell us your title. If no, please type NA. *
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Please check all issue areas that you are interested in: *
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Please use this space to expand on any of the above issues or list an issue(s) that wasn't previously listed. If you have nothing to add, type NA. *
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Which organizations in your state do you look to for information and/or guidance on farm policy? *
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Do you feel like you hear the progressive point of view on agricultural policy? *
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How can SiX help you be a champion for progressive agricultural policy in your state? Please check all that apply *
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Please use this space to expand on any of the above resources or list an issue(s) that wasn't previously listed. If you have nothing to add, type NA. *
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In this policy space, what should we know about you? Do you come from a rural background? Are you new to the space? Have you done something interesting in your state that other SiX legislators should know about? Please tell anything pertinent. *