Neighbor to Neighbor Visits Report Back Form
When Members of Congress know that their constituents care about immigrant and refugee rights, they vote accordingly. Neighbor to Neighbor visits are meetings that you and others in your community set up with your Members of Congress and/or their staff to urge them to genuinely support and stand with immigrants and refugees and their communities.

Please let us know how your visit went, so that we can work together to ensure members of Congress are hearing loud and clear that people of faith support immigrants and refugees.

The Interfaith Immigration Coalition's toolkit on Neighbor-to-Neighbor In-District Visits along with other resources can be found at: www.interfaithimmigration.org/neighbor

Name
Your answer
Your email address
This is how we will contact you if we have a follow-up question about the meeting.
Your answer
Other people, organizations represented in your meeting
Please list all participants, organizations, and contact information if able.
Your answer
City
Your answer
State (please use two letter abbreviation)
Your answer
Zip Code
Include your 9 digit long form zip code if you know it.
Your answer
Whose Office did you meet with?
(E.G. Representative Grijalva, Senator Gardner)
Your answer
Was the member present at the meeting?
Congressional Staff present?
Please include their name, title, and contact information if possible.
Your answer
Where did the meeting take place (DC or in-district)?
Your answer
What issues did you discuss with the member of Congress or their staff?
E.g. a specific bill, refugees, border, interior enforcement, detention, Dreamers, etc.
Your answer
Based on your meeting, what would this Representative or Senator need to be more supportive of the issues you raised?
More support from faith-based constituents, other members of his/her state delegation to be supportive, etc.?
Your answer
Based on your meeting, is what do you need to continue working effectively with this Representative or Senator?
More information about how to protect workers' rights, a parallel meeting with the member's national office, help connecting with other people in your state working on these issues, etc.?
Your answer
What else would you like to share about this meeting?
Please include any notes, articles, or reflections, as well as ideas about how we can be helpful to your efforts.
Your answer
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