Great Lakes-St. Lawrence Legislative Caucus (GLLC) Member Enrollment Form
The Great Lakes-St. Lawrence Legislative Caucus (GLLC) is a binational, nonpartisan organization that exists solely for the purpose of engaging state and provincial legislators in the policy-making process related to the Great Lakes and St. Lawrence River. Clean water is essential to support a healthy population, a thriving economy, and a well-functioning ecosystem. As the major source of water for communities located within the Great Lakes basin, the Great Lakes and St. Lawrence River are a vital resource in which the region’s residents all share a common interest.

Please use this form to enroll as a new member of the Great Lakes-St. Lawrence Legislative Caucus. Membership in the GLLC is open to state or provincial legislators serving in the Great Lakes states and provinces.

Required fields are marked with an asterisk. This form is only for NEW members. EXISTING MEMBERS DO NOT NEED TO RE-ENROLL.

If you have any questions about the Caucus or enrollment, contact Lisa Janairo at 920.458.5910 or gllc@csg.org.

Member Information
What jurisdiction do you represent? *
Name *
Your answer
Title *
Your answer
Legislative Chamber *
Your answer
Preferred Phone Number *
Your answer
Please indicate the type of phone number provided above *
Preferred Email Address *
Your answer
Alternate Email Address
Your answer
Preferred Mailing Address
Your answer
Staff Information
Staff Name *
Your answer
Staff Email *
Your answer
Staff Phone
Your answer
Social Media
If you use Twitter, please provide your account name so we can follow you.
Your answer
If you use Facebook for your legislative work, please provide a link to your page.
Your answer
GLLC Involvement
To help us do a better job targeting our outreach to members, please tell us what activities would interest you as a GLLC member. (Check all that apply.) *
Required
In 2018, the GLLC adopted a policy agenda that focuses the organization's work on issues related to water consumption, aquatic invasive species, toxic substances, nutrient pollution, and coastal communities. With these issues in mind, please share any suggestions for speakers or specific topics to feature during the GLLC's annual meeting and web-meetings.
Your answer
Most of the funding for GLLC activities is provided by foundations or by event contributors. Please use the space below to recommend foundations or companies that might be a good fit for contributing to the GLLC and let us know whether you have a personal connection to the potential contributor(s).
Your answer
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