CALACT Legislative Committee Application
If you would like to become a member of the CALACT Legislative Committee please complete the application. Members will be selected by the CALACT Board of Directors.
First Name
*
Last Name
*
Agency Name
*
Please select your service area. Select all that apply.
Rural
Small Urban
Large Urban
N/A
Email Address
*
Phone Number
*
-
Area Code
Phone Number
Do you work in a legislative advocacy position for your organization?
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Yes
No
Have you been a member of the CALACT Legislative Committee in the past? If so what year(s)?
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Yes
No
2022
2021
2020
2019
2018
2017
Do you have permission from your Supervisor to serve on the CALACT Legislative Committee?
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Yes
No
Do you have permission to represent your agency when voting on supporting or not supporting proposed legislation?
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Yes
No
Why do you want to be a member of the CALACT Legislative committee?
*
Please provide any past or current legislative experience.
*
Please provide any additional information you would like to provide that may assist in your selection to serve on the Legislative Committee.
*
0/50
Optional Supporting Documents
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If you have a pre-written resume with relevant working / organisational experience or a reference letter, you may upload them here (optional). Max total file size = 2 MB
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