The purpose of this form is to allow you to provide an annual update on how your chapter is organized to address government relations issues. Additionally, by submitting this form you earn 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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| Government Relations Committee (10 points) |
| 1. Does your chapter have a government relations committee? |
| Yes No |
| If "Yes," please answer questions 1a - 1d. |
| 1a. How many people are members of the government relations committee? |
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| 1b. Who is the chair of the government relations committee? |
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| 1c. Does the committee focus on only state issues, only federal issues or both? |
| State Federal Both |
| 1d. How often does the committee meet? |
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| Hiring a Lobbyist (10 points) |
| 2. Does your chapter currently employ/retain a lobbyist? |
| Yes No |
| If "yes," who is your lobbyist? |
|
| Political Action Commitee (10 points) |
| 3. Does your chapter have a political action committee for state legislative purposes? |
| Yes No |
| If "yes," please answer question 3a and 3b. |
| 3a. What is the balance of your political action committee fund? |
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| 3b. What percentage of your members contribute to your PAC? |
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| Government Relations Communications (10 points) |
| 4. Does your chapter have a dedicated and on-going effort to communicate government relations issues to your members? |
| Yes No |
| If "yes," please describe your efforts. |
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Please consider adding the ACR to the distribution list for these communications. You may send them to the ACR Office of Chapter and Volunteer Development via Email, fax, or mail
Via email:
Via fax:
Via post: |
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chapters@acr.org
(703) 262-9319
ACR
ATTN: ACR Office of Chapter and Volunteer Development
1891 Preston White Dr.
Reston VA 20191 | |
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