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* 1. Contact Information

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* 2. Are you currently registered to vote?

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* 3. Do you hold any elected office or are employed in any capacity that would prohibit you from conducting grassroots advocacy activities?

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* 5. Aside from NYLA and ALA, what other groups do you engage with? (Board service, committees, etc.)

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* 6. Which advocacy communication tools do you use regularly? (Please select all that apply.)

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* 7. Your Twitter Handle

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* 8. Please rank your comfort level (5 being the most comfortable) when talking about the following issues:

  1 2 3 4 5
Copyright, licensing, and open access
Education, learning, and STEM
Government Information
Library Funding
Privacy and Surveillance (including encryption, cybersecurity)
Telecom (net neutrality, E-rate, broadband, etc.)
Workforce (library assistance in workforce development)

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* 9. As an ALA Key Congressional Contact, in which of these activities would you like to participate? (Please select all that apply.)

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* 10. Have you, in the last two years... (Please select all that apply.)

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* 11. Which of the following best describes your contact(s) with elected officials? (Please select all that apply.)

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* 12. Have you ever... (Please select all that apply.)

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* 13. If you, a member of your family, close friend of colleague has an existing relationship with a federal or state legislator, please describe:

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* 14. What advocacy issues are of greatest concern to the stakeholders you represent and to ALA/NYLA members with whom you speak?

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