The purpose of this form is to allow you to share information about your chapter's experience in providing testimony at state- or federal-level hearings. Additionally, by submitting this form you earn ten points per person who testified 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 testimony made at the state or federal level? |
| State Federal |
| 2. What was the subject of the testimony? |
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| 3. If applicable, what is the bill number? |
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| 4. What type of testimony was made? |
| Written Verbal |
| 5. Please describe the issue. |
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| 6. Please describe how your chapter came to provide testimony on this issue? |
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| 7. Please list the person(s) who provided testimony. |
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| 8. Did you receive or use model testimony prepared by the ACR or another organization? |
| Yes No |
| If "Yes", where did you get the model testimony? |
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If possible, please forward a copy of the testimony to the ACR Office of Chapter and Volunteer Development.
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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