The League In Advocacy Challenge
Count Your Advocacy!
Use this form to record any contact you make with your representatives (Delegate, Senator, Governor, Lieutenant Governor, Attorney General, Mayor, District Supervisor). Please submit this form for each individual contact made. It is recommended that you fill this form out once a week during the Legislative Session. This form should also be used for advocacy events (ie. Redistricting booth at a local festival). Attending meetings or registering voters does not count as advocacy.
Email address *
Name (First name, last name) *
Your answer
Please Select Your Local League of Membership *
Date of Contact *
MM
/
DD
/
YYYY
Location of Contact
Your answer
Whom did you contact? *
Please list in the following order - Name of Rep., Position, District (Example: Vivian Watts, State Delegate, District 39)
Your answer
Type of Contact Made *
Was advocacy in conjunction with a partner org?
Please specify the organization: OneVirginia2021, NAACP, AAUW, etc
Your answer
Was this a response to a Call-to-Action? *
If yes, please provide Call-to-Action title/subject.
Your answer
Subject of legislative priority? *
Required
Please list bill number (if applicable).
examples: HB1835, SB856, SJ30
Your answer
Did you receive any follow-up regarding this advocacy effort?
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service