Legislative Action Day 2018 Registration Form
Please complete this form to let us know if you will be attending the Massachusetts Coalition for the Homeless' Legislative Action Day on Tuesday, February 27th, starting at 9:30 a.m. at the State House in the Great Hall (Registration at 9 a.m.). The event is sponsored by State Representative Jim O'Day.

* Please note that if you register after February 22nd, your name may not be on the printed registration sheet when you arrive. You can just note your name on a sign-in sheet that day, and we will match it up with your online registration form.

Do you plan to attend the Coalition's Legislative Action Day on Tuesday, February 27th? *
First Name *
Your answer
Last Name *
Your answer
Organization or Legislative Office *
Your answer
Email Address *
If you don't have your own email address, is there one where we can reach you? If not, please write in n/a.
Your answer
Phone Number *
Your answer
Street Address
Please enter your full street address if you would like help in setting up meetings with your state legislators.
Your answer
City/Town
Your answer
Zip Code
Your answer
Will you be joined by others from your office or organization?
If so, please indicate their names here.
Your answer
Are you in need of a reasonable accommodation?
If so, please provide more detail here. Please submit your request by 1/31.
Your answer
Would you like to serve as a volunteer at Legislative Action Day?
Volunteer roles include registering participants, helping participants prepare for legislative meetings, delivering folders to legislators, sharing a testimonial, etc.
Appointments with State Legislators on Legislative Action Day
Meeting with State Representatives and Senators is an effective way to let them know that you are concerned about homelessness and to advocate for issues you care about. This is a time to discuss the budget and bill priorities you want them to support as related to housing and homelessness. Individual/group meetings also give you the change to learn more about what issues legislators feel strongly about (positively or negatively).
Would you be interested in making an appointment to meet with your state legislator(s)?
Please check below if...
If you are already planning on meeting with your state legislator(s), please indicate their name(s) below.
Your answer
Do you have any other comments or questions?
Your answer
Thank you for your interest! We hope to see you on February 27th!
For more information, please contact:
Ana Maria Mesa at anamahomeless@gmail.com or 617-466-6043
Kelly Turley at kelly@mahomeless.org or 781-595-7570 x17
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