Save LIHEAP Coalition
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1
. The President has requested a 50 percent cut to the LIHEAP program in FY2012, which would drastically reduce funding from $5.1 billion to $2.57 billion. As a result, we are collecting stories and information from LIHEAP supporters in an effort to help Congress and the Administration understand the impact that a cut would have across the country.
For your survey response to be useful, we need at least your name, city and zip code. If you would like to provide us more contact information, we can add you to our database so you can receive updates about the LIHEAP program.
The President has requested a 50 percent cut to the LIHEAP program in FY2012, which would drastically reduce funding from $5.1 billion to $2.57 billion. As a result, we are collecting stories and information from LIHEAP supporters in an effort to help Congress and the Administration understand the impact that a cut would have across the country. For your survey response to be useful, we need at least your name, city and zip code. If you would like to provide us more contact information, we can add you to our database so you can receive updates about the LIHEAP program.
Name:
Company:
Address:
Address 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code:
Country:
Email Address:
Phone Number:
2
. What is your role in the LIHEAP program?
What is your role in the LIHEAP program?
Program administrator
Advocate
LIHEAP recipient
Public awareness
Other (please explain below)
Other (please specify)
3
. Over the past several years, funding for the LIHEAP program has grown significantly. Please explain what the increase in funding has meant for LIHEAP recipients in your community.
Over the past several years, funding for the LIHEAP program has grown significantly. Please explain what the increase in funding has meant for LIHEAP recipients in your community.
4
. Because of budgetary constraints in Washington, some leaders believe it is necessary to reduce funding for LIHEAP. Please explain what the impact to your community would be if LIHEAP funding was cut.
Because of budgetary constraints in Washington, some leaders believe it is necessary to reduce funding for LIHEAP. Please explain what the impact to your community would be if LIHEAP funding was cut.
5
. Over the next year, we will be encouraging LIHEAP supporters across the country to participate in a range of activities to increase awareness of the importance of the LIHEAP program. These activities could include local news conferences, panel conversations, and letter writing campaigns. Would you be interested in:
Over the next year, we will be encouraging LIHEAP supporters across the country to participate in a range of activities to increase awareness of the importance of the LIHEAP program. These activities could include local news conferences, panel conversations, and letter writing campaigns. Would you be interested in:
Helping organize a local event
Volunteering at an event someone else organizes
Attending an event
Writing or calling my Congressional delegation
None of the above
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