NAESV District Advocacy Visit Report
This form should be used to report on district meetings with members of Congress or their staff.
Date of Visit
Your Program/Coalition Name
Your email address
Name of Representative or Senator
Who did you meet with (list staff names and titles and or indicate if the member was present)?
Email of highest ranking staff member at the meeting
Tone of the meeting:
Follow up needed:
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This form was created inside of National Alliance to End Sexual Violence.
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