Please fill out this form for EACH meeting you have scheduled with a member of Congress. Once you submit your first form, it will automatically re-open so you can submit additional visit(s) information or you can return to the link anytime to enter another visit at https://www.surveymonkey.com/r/AugVisits2026.

Question Title

* 1. Your Name

Question Title

* 2. Phone Number

Question Title

* 3. Please enter your Email Address:

Question Title

* 4. Name of your GPA Chapter (if applicable)

Question Title

* 5. Congressional Office You’re Meeting with: (including member of Congress’ name, state and district number if applicable)

Question Title

* 6. Please indicate the date of your meeting.

Question Title

* 7. Are You Meeting With (check all that apply)

Question Title

* 8. If Staff, please provide the name and title:

Question Title

* 9. How many chapter members attended this meeting?

Question Title

* 10. Please list on separate lines the name and email address (if available) of each chapter member that attended:

T