Meeting Report Congressional Meeting Report Following the meeting with a member of Congress and/or their staff, use this form to document the discussion and follow-up requested. Your Name First Last Your Organization Name Organization Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Your Email Date of Meeting MM slash DD slash YYYY Meeting Attendees/ ParticipantsNameTitleOrganization/ Office Add RemoveWhat was discussed?What were the highlights of the meeting? What seemed to resonate or be of primary interest to the Member or their staff?Is follow-up needed/requested?YesNoPlease describe what follow up information or activity is expected: If you have a photo from the visit, please upload it here: Drop files here or Select files Max. file size: 50 MB. Please share materials that were provided in the meeting: Drop files here or Select files Max. file size: 50 MB. What's your perception of the Congressional Member/Staff's opinion of the WBC or WBC Program?Strongly Supportive or Very PositiveSupportive or PositiveNeutralUnhelpful or NegativeExtremely Unhelpful or NegativeWhat's your perception of the Congressional Member/Staff's knowledge/familiarity of the WBC or WBC Program?Completely Understands WBC Program Benefits and ChallengesVery KnowledgeableSomewhat UnderstandsDoesn't Seem to Know the ProgramCompletely Unfamiliar, Knows Nothing about the Program Δ
