Schedule A Meeting

Organization

Name of Event *

Point of Contact Name *

Point of Contact Email Address *

Point of Contact Phone Number *

Day-of Contact Phone Number *

First Day Available *

Last Day Available *

Event Start Time/Time Availability *

Type of event

Please provide a brief description of this event e.g. to meet & greet constituents*

Please provide relevant background info *

Street Address of event*

Street Address (2)

City *

State *

Zip Code *

Length of participation

Please list who will be attending the meeting *

Event format/program *

Formal Remarks YesNo

Describe press involvement e.g. national media, local media, none

Describe the Senator's participation in previous years or participation of other notable individuals