Question Title * 1. Please indicate your name and basic contact information. First Name: Last Name: Email: Phone Number: 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 soon!) Unsure (Please contact michellechiles@coabe.org) Comments Question Title * 4. Please indicate if you have registered for the Capitol Hill Day webinar meeting. If you have not done so yet, please copy and paste the URL below into your web browser and register today.https://zoom.us/meeting/register/1044f72bb4db61b134538d7d4481ef37 Yes No Unsure Question Title * 5. 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 Question Title * 6. Please click on the link below to log the meetings you have scheduled for Capitol Hill Day: http://coabe.capwiz.com/coabe/lrm/feedback.tt?event=63594 Done