2025 In-Person HOPA Hill Day Application Survey

Join Us September 30th in Washington D.C. for HOPA's 2025 In-Person Hill Day!

HOPA's 2025 In-Person Hill Day will take place on Tuesday, September 30th in Washington, D.C! During Hill Day, advocates will have an opportunity to engage with the offices of their elected officials and share the issues that are important to hematology/oncology pharmacy practitioners and their patients.

Prior to the event, HOPA's Policy & Advocacy Team will hold a training session to tell you everything you need to know before your meetings. You will also receive supplemental materials and talking points to help you prepare!

*If any of the questions on this application do not apply to you, please answer "N/A".

1.Contact Information:(Required.)

Full Name

Credentials (e.g., PharmD, BCOP)

Preferred Email Address

Phone Number

2.Home Address:(Required.)

Street

City/Town

State/Province

Zip/Postal Code

3.Please list the names of your elected officials (federal) based on your home address.(Required.)

Senator #1

Senator #2

Representative (Find By Address)

4.Which HOPA group, if any, are you a member of?(Required.)

5.Which of the following best applies to you?

Please Note: If you are both a practicing pharmacist and a patient/caregiver, please select practicing pharmacist.(Required.)

Resident

HOPA Mentorship Program Mentee

Patient/Caregiver

Practicing Hematology/Oncology Pharmacist