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Legislative Action Day 2019 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 Thursday, February 28th, starting at 9:30 a.m. at the State House on the second floor 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 25th, 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.
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* Indicates required question
Do you plan to attend the Coalition's Legislative Action Day on Thursday, February 28th?
*
Yes, I will be attending
I am unsure, but please send me follow-up information
No, I will be unable to attend-- but will call my legislators that day (State House switchboard: 617-722-2000)
First Name
*
Your answer
Last Name
*
Your answer
Organization or Legislative Office
*
Please write "n/a" if you are not affiliated with an 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
Role/Job Title (if applicable)
Your answer
Street Address
Please enter your full street address if you would like help in setting up meetings with your state legislators. It generally is most powerful to meet with the legislators that serve the community where you are living or staying. We also encourage you to meet with legislators that represent the community where you work, worship, or lived before experiencing homelessness, if different.
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 2/1.
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.
Yes, I am interested in volunteering on 2/28 at the State House.
I would like to learn more.
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 related issues. 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 chance to learn more about what issues legislators feel strongly (positively or negatively).
Would you be interested in making an appointment to meet with your state legislator(s)?
Yes
No
Please check below if...
You need help in setting up an appointment with your state legislators
You do not have access to your own email account
If you are already planning on meeting with your state legislator(s), please indicate your legislator's 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 28th at the State House!
For more information, please contact:
Kelly Turley at
kelly@mahomeless.org
or 781-595-7570 x17
Molly Schulman at
molly@mahomeless.org
or 781-595-7570 x20
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