Advocacy Tracker
Name
*
First Name
Last Name
Region
*
Please Select
West
Mid-State
Northeast
Southeast
Philadelphia
Date of Event
*
-
Month
-
Day
Year
Date
Type of Engagement
*
Please Select
Meeting - In District
Meeting - In Capital
Event - In District
Event - In Capital
Fundraiser - In District
Fundraiser - In Capital
Home Visit
Virtual Call
Phone Call
Other
Name of Legislators/Staffers/Individuals Interacted With
*
Narrative Summary of Discussion
*
Rate the Interaction Success
*
Please Select
Very Successful - We Have a Champion!
Successful - We Have Support
Possibility - We Have Possible Support
Neutral - Neither Supportive or Unsupportive
Unsuccessful - We Do Not Have Support
Don't Forget to Follow Up with a Hand Written Thank You or Email!
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