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Congressional Activities Report Form
Hi! We would love to hear every detail about your congressional engagement!
These interactions are incredibly important to our mission, and being thorough helps us connect the member of Congress back to their district or state at home.
Let us know how it went and reach out to us at govtaffairs@pta.org with any questions.
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Email
*
Your email
Where are you from?
Choose
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington, D.C.
DoDEA school
Other (American Samoa, Puerto Rico, USVI, Guam, Northern Mariana Islands or other U.S. territory)
Which congressional district or state was this activity for? [If House please ONLY put EXAMPLE: VA-08. If Senate please ONLY put state EXAMPLE: VA]
Your answer
Which office did you engage with? (EXAMPLE: Sen. Tim Kaine, Rep. Don Beyer)
Your answer
Was this engagement in-person or virtual?
In-Person
Virtual
Clear selection
What was the format/location for this meeting/event? If OTHER, please see next question.
Meeting with District Office
Meeting with DC Office (not LegCon)
Local Event (includes site visits, attending a town hall, hosting a coffee with congress, etc.)
Media Engagement (includes submitting a Letter to the Editor mentioning your member of Congress, social media engagement, local news interview mentioning a legislative priority, etc.)
LegCon Meeting
Clear selection
If OTHER, please describe the interaction here.
Your answer
Did you interact with the member of Congress or a staffer?
Member of Congress and Staff
Staff Only
No Direct Contact
Clear selection
Which topics did you discuss? (please check all that apply. If OTHER, please respond in next question)
Appropriations (Funding)
Gun Violence Prevention
Welcoming and Inclusive School Environments
Family School Partnerships
Digital Safety
Protecting Students of Mixed Immigration Status
Protecting LGBTQ+ Students
School Vouchers
If you discussed other topics, please list them out here.
Your answer
How many times have you spoken with or met with your Rep./Sen. regarding this issue?
This was the first
2
3
4
5+
Clear selection
Does PTA need to follow up with the office to answer any questions they had? If so, which topics did they want more information about?
Your answer
Please describe how the interaction went (please be as detailed as possible!)
Your answer
Did you send the office a thank you email?
Yes!
No, but will follow up ASAP!
Clear selection
Did you take any pictures or post on social media about the interaction?
Yes!
Not yet, but I will! (It's never too late!!)
Clear selection
Overall, what can we do to make the experience easier for next time?
Your answer
Send me a copy of my responses.
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