First Focus Ambassador: Meeting Follow-Up Form

First Focus Ambassadors

Meeting Follow-Up Form
What is your Name?*

First NameLast 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?*

MonthDayYear
Date
Was the Member of Congress present for your meeting?*

YesNo
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?*

YesNo
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

Cancelof
What is your next step following this meeting?
Optional
Should be Empty:

First Focus Ambassadors