UUP Legislative Meeting Feedback Form

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Chapter *

What event did you attend? *

First Name *

Last Name *

Non-edu. Email Address *

Name of legislator you spoke with *

Date of Meeting *

YYYY

Which did you meet with? *

Legistlator

Staff Member

Name of UUP Members in attendance *

Topics discussed in meeting? *

How supportive was the legislator of UUP's position? (1 = Not Supportive 5 = Very Supportive *

Comments regarding position of support

Did the legislator request any additional information related to the issues discussed? If so, how do you plan to provide them with the requested information?

Fundraiser: Topics of discussion networking with other organizations *

Additional comments about this meeting

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