Question Title * 1. Please indicate your name and basic contact information. First name: Last name: Email: Phone #: Your state: Question Title * 2. Please indicate your role in adult education. You can select more than one option. Student Teacher Administrator State Director State Association Leader Other Question Title * 3. Please indicate if you have contacted our office with your arrival/departure information so we can ensure you have hotel accommodations. Yes No (Please do so today!) Unsure (Please contact sharonbonney@coabe.org) Comments Question Title * 4. Please indicate if you have registered for the Capitol Hill Day Webinar on 4/12. If you have not done so yet, please copy and paste this URL here into your web browser and register today. https://zoom.us/webinar/register/21529fe9a797844c34538d7d4481ef37 Yes No Unsure Question Title * 5. Please let us know which legislators you have made appointments with. Please note the time of each your visits. (Eg.Senator Shumar, NY at 10am OR Staffer for Senator Shumar, NY at 10am) Legislator #1 Legislator #2 Legislator #3 Legislator #4 Legislator #5 Question Title * 6. We are interested in recognizing legislators that champion the cause of adult education. If you feel your legislator should be recognized, please note his/her name(s) below along with a brief comment on what he/she has done to promote adult education that is worthy of special recognition. (Eg. Rep. Hinojosa championed many laws on behalf of adult education over the span of his 30 year career). Recognition #1 Recognition #2 Recognition #3 Done