District Days Report Form Candidate Information Question Title * 1. Contact Information Name City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming Best Email Address Cell Phone Number Question Title * 2. Students - University Question Title * 3. Legislator name Question Title * 4. Date and time of your meeting Date / Time Date Time AM/PM - AM PM Question Title * 5. With whom did you meet? Please provide the name(s) of the person or people with whom you met Question Title * 6. This role of the key person in the meeting was Representative Representative's staff member Other (please specify) Question Title * 7. Did any other social workers or supporters attend this meeting with you? If so, provide their names and email addresses if available Question Title * 8. Which bill(s) did you discuss? HB 1841 Social Work Compact HB 2272 SWEET bill Other (please specify) Question Title * 9. Feedback from Meeting: Please provide any relevant feedback. Did the meeting go well/ok/poorly? Were there any commitments about their position or voting status? Provide anything you'd like to share. Question Title * 10. Outcome of meeting regarding HB 1841, Social Work Compact The Representative commits to support the bill or was already listed as a co-sponsor The Representative will not commit to support the bill The Representative is undecided The Representative requires more information (included here) HB 1841 was not discussed in this meeting Question Title * 11. Outcome of meeting regarding HB 2272, SWEET bill The Representative commits to support the bill or was already listed as a co-sponsor The Representative will not commit to support the bill The Representative is undecided The Representative requires more information (included here) HB 2272 was not discussed in this meeting Question Title * 12. Follow Up: Did any questions or concerns arise during the meeting that the NASW-PA team should follow up on? Thank you for meeting with your Representative's office and for participating in District Days! For next steps, we recommend sending an email to the person you met with as a thank you for the meeting. Done
