The purpose of this form is to allow you to share information about your chapter's experience in lobbying (not just monitoring) on a particular issue at either the state or federal level. Additionally, by submitting this form you earn ten points for your chapter towards the Chapter Recognition Award in Government Relations.
Instructions: Please complete the entire form and click "Submit" when finished. Your responses may be shared with other chapter leaders and ACR staff.
If you have questions about this form please contact the ACR Office of Chapter and Volunteer Development at 800-401-1438 or at chapters@acr.org. |
| Name |
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| Chapter |
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| Position in Chapter |
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| E-mail Address |
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| Telephone Number |
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| 1. Was this lobbying effort at the state or federal level? |
| State Federal |
| 2. What is the bill number? |
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| 3. Please describe the issue. |
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| 4. How did your chapter become aware of the issue? |
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| 5. Please describe the lobbying efforts made on this issue. You may want to include whether or not you met with legislators or their staff and their response to the meeting. |
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| 6. Was the lobbying effort successful? |
| Yes No Unsure |
Please Explain:
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| 7. Did your chapter contact the ACR government relations staff for assistance? |
| Yes No |
| If "Yes," who did you work with and what assistance did he/she provide your chapter? |
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