Oregon Academy 2013 Legislative Day Question Title * 1. Will you be attending Legislative Day on March 15th? Yes No Unsure Question Title * 2. If yes, please add your information here. Name: Address: City/Town: State: -- 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 ZIP: Email Address: Phone Number: Question Title * 3. Please add your legislative district here. (You can find your information by copying/pasting the following link in to your browser): http://www.leg.state.or.us/findlegsltr/home.htm Question Title * 4. Have you attended a Legislative Day in Salem before? Yes No Question Title * 5. Are you interested in taking point during legislative meetings? You will lead a small group of RD's when speaking to legislators. Yes No Question Title * 6. Do you already know or have you met with a legislator? Yes No If yes, add the legislator's name here. Question Title * 7. you know of any nutrition related bills coming forward in 2013? Yes No If yes, please add info here. Question Title * 8. Are you interested in volunteering with the Oregon Academy to assemble packets for Legislative Day? (March 10th from noon - 2pm, NW Beaverton) Yes No Done