First Focus Ambassadors
Meeting Follow-Up Form
What is your Name?
*
First Name
Last Name
What is your email?
*
example@example.com
What office was your meeting with?
*
Sen. Joe Doe [I-DC] or Rep. Jane Doe [I-DC-2]
When did this meeting take place?
*
-
Month
-
Day
Year
Date
Was the Member of Congress present for your meeting?
*
Yes
No
What was/were the name(s) of any staff you spoke with?
*
First and Last Name(s)
What was the main topic you discussed
*
e.g., H.R. 3000 or Child Tax Credit
Please include a summary of your meeting here:
Did you leave behind any materials?
*
Yes
No
What material did you leave?
What (if any) commitments did you receive
*
Support for a bill/policy or follow-up meeting? If none, write n/a
Please upload any photos or videos you rook during the meeting here
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What is your next step following this meeting?
Optional
Submit
Should be Empty: