2026 Advocacy Forum - Chapter Representative Application

Requested Information:

2026 Advocacy Forum

June 8-9, 2026

Washington, DC

Thank you for your interest in the 2026 Advocacy Forum.

The application deadline is March 13, 2026.

Your application to this meeting implies consent to list your name and home state via the ANNA website.

To qualify for housing coverage, attendees must participate in both Day 1 Training at Venable and Day 2 Capitol Hill visits.

1.Please complete the following:

Name

Address

City, State

Mobile Phone

Membership Exp. Date

Chapter name

2.Please indicate whether you are currently serving as a chapter officer (check all that apply):

President

President-elect

Secretary

Treasurer

Health Policy Rep

Other (please specify)

3.Have you ever attended a health policy conference? (i.e. NIWI, ANNA Health Policy Workshop, ANNA Advocacy Forum, State Advocacy Day)

Yes

If yes, list the name of the workshop you attended, and after attending, how did you use the knowledge you received?

4.Describe your past and current advocacy efforts. What are some of the things you have done?

Example:
ANNA Take Action or other letters, emails or visits to policy makers/legislators; Advocacy posts or advice via ANNA Connected, etc.

5.After attending, are you willing to go back to your chapter and share your experiences and encourage them to take action when needed?

Example:
Send emails to representatives when asked.

Yes

Comments:

6.Meals and hotel will be provided (2 nights only with arrival on June 7th and departure after Capitol Hill visits on June 9th). Are you willing to cover the cost for travel to the meeting?