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2017 NPS Hill Visit Report Form
Please fill out one form for each visit and submit using this form to ACTE's Public Policy Department. Please contact Jarrod Nagurka at
jnagurka@acteonline.org
if you have any questions.
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* Indicates required question
Your Name(s):
*
Your answer
Member of Congress you visited:
*
Your answer
State:
*
Your answer
District (House only):
Your answer
Staff Member:
Your answer
If not already a member, will your Member of Congress join the House or Senate CTE Caucus?
*
Yes
No
Other:
Does your Member of Congress support funding for the Carl D. Perkins Career and Technical Education Act?
*
Yes
No
Other:
If they support funding for the Perkins Act, would they be willing to sign a letter to the appropriations committee stating their support?
*
Yes
No
Other:
Is your Member of Congress interested in CTE?
*
Yes
No
Other:
Has your Member of Congress or the staff person visited a CTE program?
*
Yes
No
Other:
Would he or she be willing to?
*
Yes
No
Other:
Did you Member of Congress request additional information?
*
Yes
No
If yes, please elaborate:
Your answer
Should ACTE follow up with this Member of Congress' office?
*
Yes
No
Other:
Are you willing to continue building a relationship with this Member of Congress through advocacy in your home state or district?
*
Yes
No
Additional Comments:
Your answer
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