Hill Visit Appointment Submission Form: Add

Hill Visit Appointment Submission Form: Add

About You

First Name:

Last Name:

Email address:

Institution/Organization:

State:

Visit Information

Meeting #1 Member Name:

(ex. Representative Foxx or Senator Murray)

Will this meeting be in-person or virtual?:

Person you are meeting with:

(ex: name of legislative aide)

Date of Visit Scheduled:

Time of Visit Scheduled:

hh:mm AM/PM

Date Visit Confirmed with Staff:

Meeting #2 Member Name:

(ex. Representative Foxx or Senator Murray)

Will this meeting be in-person or virtual?:

Person you are meeting with:

(ex: name of legislative aide)

Date of Visit Scheduled:

Time of Visit Scheduled:

hh:mm AM/PM

Date Visit Confirmed with Staff:

Meeting #3 Member Name:

(ex. Representative Foxx or Senator Murray)

Will this meeting be in-person or virtual?:

Person you are meeting with:

(ex: name of legislative aide)

Date of Visit Scheduled:

Time of Visit Scheduled:

hh:mm AM/PM

Date Visit Confirmed with Staff:

If you scheduled any additional visits or are joining others, please list those meetings below.: