Capitol Hill Day 2018 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 which Capitol Hill Day event you are interested in attending. September 27th Other Question Title * 4. Please indicate if you have raised your hand for Adult Education: http://cqrcengage.com/coabe/home?0 Yes No I have not, but will do so immediately. Other 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 Done