Advocacy Request Form

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Advocacy Request Form

* Indicates required field

Organization Name *

Submitted by: *

First

Last

Email *

Phone Number *

Is your organization a chamber member? *

Yes No Unsure

Summary of Issue *

350 Words or Less

Resolution/Ordinance Upload *

Max file size: 20MB

Provide reasons why the chamber should support or have an opposition on this issue: *

Who are those likely to support this issue? *

Who are those likely to oppose this issue? *

What is the likely outcome if the chamber were to support the issue? *

What strategic method of action would you recommend the chamber take? (Choose all that apply) *

Placement on our Legislative Agenda Communication with local officials/government Communication with federal officials Press Release/Advocacy Blog Communication with Monroe County Delegation at the State Social Media Campaign Other

If the Board of Directors elects to address this issue, what is the chamber's proposed role in influencing the issue and what specific action would be required to do so? *

Is the issue relevant to the chamber's mission to take action?

The issue complies with the overall mission and value of the chamber. *

Yes No Unsure

The necessary resources of manpower and money are available for us to affect this issue. *

Yes No Unsure

Our effort is a duplication of what someone else (or organization) is doing. *

Yes No Unsure

Is there a business, which is impacted by the issue to a significant degree? *

Yes No Unsure

There is a person of interest who support the issue within the chamber. *

Yes No Unsure

The chamber can significantly affect the issue within a one-year period. *

Yes No Unsure

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Advocacy Request Form

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