Please submit a separate form for each meeting you schedule.

Thank you for joining addiction professionals from across the country in reaching out to our Members of Congress to advocate for the addiction workforce and those it serves!

Please fill out and submit the below form so that your meeting can be added to the master calendar.

If you have any questions, please contact NAADAC Director of Communications Kristin Hamilton, JD, at khamilton@naadac.org.

Question Title

* 1. Please enter your name.

Question Title

* 2. Please enter your email address.

Question Title

* 4. Is this a meeting with a U.S. Senator or a U.S. Representative?

Question Title

* 5. Please list the name of the U.S. Senator/U.S. Representative with whom you are meeting.

Question Title

* 6. What is the date and time of the meeting? (Please use Eastern Standard Time (EST))

Date
Time

Question Title

* 7. Are you meeting with the Member of Congress or his/her staff? If staff, please list the names and roles of each person (if you know).

Question Title

* 8. Please list the names of all other Hill Day attendees who will be joining you for this meeting.

Question Title

* 9. What platform are you using for the meeting? (Zoom, conference call, etc.)

Question Title

* 10. Are you setting up the meeting platform or is the Member of Congress?

Question Title

* 11. Is there any other information you would like to add?

0 of 11 answered
 

T