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Congressional Meeting Report Form

Thank you for taking the time to report your congressional meeting. This information is helpful for following up and building relationships with these offices to advance our mission of a world without hunger.

Please submit one form per meeting.

Your Information

First Name

Last Name

Email Address

State or Province

Congressional Office You Met With

Please remember to submit a separate report for each meeting.

I met with the office of my:

Senator

Representative

Senate office I met with:

House office I met with:

I met with:

Member of Congress

Staff

Both Member and Staff

Staff Name(s) & Title(s) - Chief of Staff, Legislative Director, Legislative Aide, Legislative Correspondent, etc.:

Tell us about the meeting.

Overall, how supportive was the office of our asks?

1 - Opposed

2 - Somewhat opposed

3 - Neutral

4 - Somewhat supportive

5 - Fully supportive

Please explain

Domestic Asks (3)

Select "unsure" if you didn't cover the ask or don't know the answer.

Please explain:

2. Will the senator/representative support full funding for WIC, and will he/she support the MODERN WIC Act (House) and the 21st Century WIC Act (Senate)?

Yes

Unsure

Please explain:

3. Will the senator/representative support restoring the USDA Household Food Security Report?

Yes

Unsure

Please explain:

International Asks (2)

Select "unsure" if you didn't cover the ask or don't know the answer.

1. Will the senator/representative support Bread for the World's funding level requests for global health programs?

Yes

Unsure

Please explain:

2. Will the senator/representative support Bread for the World's funding level requests for global nutrition programs?

Yes

Unsure

Please explain:

Congressional Meeting Report Form

Your Information

Congressional Office You Met With

Tell us about the meeting.

Domestic Asks (3)

Select "unsure" if you didn't cover the ask or don't know the answer.

International Asks (2)

Select "unsure" if you didn't cover the ask or don't know the answer.

Other Questions