Fall 2020 In District Meeting Interest

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Please complete the below form if you are interested in a virtual meeting with your elected official this fall semester as part of the university's efforts to connect members of the UMD community with their legislators. If selected, you will participate in the meeting with a small group of constituents and be expected to participate in a briefing in advance of the in district meeting.

If you have any questions or concerns, please contact Lauren Norris, Director of Advocacy and Engagement directly at lnorris1@umd.edu.

Email *

First Name *

Last Name *

UID *

Cell Phone Number *

Expected Graduation Year (e.g. 2021) *

Major(s) (e.g. Finance and Economics) *

Home Address (e.g. 1856 Testudo Way) *

Home Address (e.g. Apt 1)

Home City (e.g. College Park) *

Home State (e.g. MD) *

Home Zip Code (e.g. 20742) *

Have you received the following scholarships? *

State Senator Scholarship

State Delegate Scholarship

I have not received either of the above scholarships.

Required

State Legislative District (e.g. 10; lookup here: https://go.umd.edu/legislativemap)

Any additional information you'd like to share?

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