JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
ELCA Advocacy: In-District Activity Form
Share your experience with the ELCA Witness in Society advocacy national office. In future interactions, this information helps us build upon one another's efforts and strengthen our impact. Thank you!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
1. What type of activity did you take part in?
*
Choose
Town Hall meeting - on site
Town Hall meeting - virtual
In-district meeting at state/district office
Lawmaker came to you
Letter sent with "God's work. Our hands." Sunday activity
Other
2. Activity location
Your answer
3. Event date
*
MM
/
DD
/
YYYY
4. Your name
*
Your answer
5. How many in your party (excluding lawmakers)?
Choose
1
2-3
4-5
More
n/a
6. Your congregation/group
Your answer
7. Your contacted elected official
*
(Example: Sen. Lindsey Graham, SC)
Your answer
8. Lawmaker's state/district
(Example: Texas-15)
Your answer
9. Was the elected official present in person?
*
(If not, select "Other..." and identify person you met with, or select "No" if unknown.)
Yes
No
n/a
10. What issue(s) was your focus during the activity?
Please include if specific bills or legislation were discussed, etc.
Your answer
11. How receptive was the lawmaker to your issue of concern? What follow-up is needed?
Your answer
12. Other comments
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
