The Peace Alliance


Report a Congressional Meeting

Thank you for taking the time to report on your Congressional meetings.  These reports are vital to our ability to measure our activity and plan for greater effectiveness, so Thank you for taking this important step.

Please be sure to complete a separate report form for EACH meeting that takes place.

Notes:

  • Information with asterisks (*) is required. You cannot complete submission if they aren't filled in.
  • Only ONE form per meeting is required, so please work with your meeting group members to complete it.
  • We do want to hear from everyone who wishes to report so you may fill out a report for any meeting you participated in if you want to make sure your view is represented.


Today's Date:       * Meeting Date:  
About You:

Your First Name:      Last Name:

Your phone number:      * Your State:   

* Your email address:

Congressional Office Met with:
* Select One:
Senator  
Representative
* Congressional District:
(Ex: SD-ALL, OH-10, CA-05, CA-Sen, SD-Sen - Don't forget the state abbreviation)

* Officeholder's First Name:   * Last Name:
(First and last name of the individual holding this office, whether you met with him/her or a staff member)

Office Holder's Political Party:

With whom did you meet?

Select One:  Actual Congressional Member   Congressional Staff    Dropped Off Material - No Meeting

If you met with staff members, please list their full names and positions, if known:

Where did this meeting take place? (Select one)
Location Details (City name):
How many volunteers were present at this meeting? (Include yourself)  

How would you rate the response to your requests for support of the legislation? 
(Select best response, you can elaborate below)

Already a Co-sponsor & ready to take more action
Very Interested
Neutral 
Not Interested 

Already a cosponsor but unwilling to take more action
Interested 
Disinclined
Against

What objections, if any, did they express?  (Select all that apply)

Too much bureaucracy
No funding
Already done by State/Other departments
It will never pass
Too hard to get a full Department
Can't legislate "peace"
Is the work of all government, not a certain department
Other (please detail in next box)

What other objections were offered?

What, if anything, did they like about the bill?



What recommendations, if any, did they offer?

What agreements, if any, did you and they make with one another? (Select all that apply)
Become a new cosponsor
Enroll other members to cosponsor
Work together in district on issues
Speak at local event
Write/publish an Op Ed
Lead/partner on other legislation
Visit violence-prevention program
Other (please detail in next box)

What other agreemenst were made?

On what other violence prevention legislation/issues would they be willing to lead?

Follow Up

What follow-up will you be making as a result of this meeting? What are your next action steps?

Please provide any additional information you feel is pertinent:

Double check your entries and then hit SUBMIT!
After you submit you will have a chance to come back and complete another report for another meeting or quit.