Alpha ONECA Advocacy Day Registration
Register to participate in Alpha Phi Alpha’s Advocacy Day on the Hill. Please complete this form to confirm your attendance and provide necessary information for event coordination.
Member Information
Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Chapter Affiliation
*
Please Select
Zeta
Sigma
Alpha Gamma
Alpha Kappa
Beta Sigma Lambda
Epsilon Gamma Lambda
Zeta Phi Lambda
Eta Alpha Lambda
Theta Iota Lambda
Theta Zeta
Kappa Delta
Mu Phi
Mu Theta Lambda
Rho Nu
Sigma Zeta
Pi Tau Lambda
Other (please specify below)
If you selected 'Other' above, please list your chapter name
Legislative Matching
Home Street Address
*
City
*
Zip Code
*
Are you willing to meet with legislators outside your district if needed?
Please Select
Yes
No
Participation Commitment
I confirm I will attend the full Advocacy Day program
*
Please Select
Yes, I will attend from start to finish
No, I can only attend a portion of the program
Have you previously participated in a legislative meeting?
Please Select
Yes
No
Would you be willing to serve as a small-group lead during meetings?
Please Select
Yes
Possibly
No
Logistics
Dietary Restrictions (please specify)
Will you require parking information?
Please Select
Yes
No
Will you need assistance with transportation coordination?
Please Select
Yes
No
Pre-Event Engagement
Are you willing to assist with: (Select all that apply)
Recruitment of other Brothers
Social media promotion
Photography
Media engagement
Follow-up outreach
Set up and/or breakdown
Other
Agreement
I understand this is a professional advocacy event and agree to adhere to business attire and represent Alpha Phi Alpha Fraternity, Inc. appropriately.
*
I agree
Submit Registration
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