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State Scheduling Request Form 2-10-2011

State Scheduling Request Form 2-10-2011

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Published by Jared Allaway
Schedule an appointment with a representative.
Schedule an appointment with a representative.

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Published by: Jared Allaway on Jan 22, 2012
Copyright:Attribution Non-commercial

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09/20/2013

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Office of Senator Maria CantwellScheduling Request Form
 Note: Please note that due to the large number of requests for the Senator’s timewe are not able to accommodate every request. In the event that the Senator isunable to meet our staff will be in contact with you.
Today’s date:
(Insert text here)
Date(s) requested:
(Insert text here)
Times preferred:
(Insert text here)
Type of event:
Meeting
 
Speaking request
 
Other: (Insert text here)
Contact Person:
(Insert text here)
Sponsoring Organization:
(Insert text here)
Name:
(Insert text here)
Address:
(Insert text here)
Phone numbers:
(Insert text here)
Email:
(Insert text here)
Have you requested a
 Yes
No
meeting with our office
If yes, please provide details:
before?
 APPOINTMENT ONLY 
List of Attendees:
(Insert text here)
Total Number:
(Insert text here)
Topics for discussion:
(Insert text here)
 
 
If Senator Cantwell is unavailable, are you interested in meetingwith her legislative or outreach staff?
 Yes
No
If yes, someone from our office will contact you to set up adate and time to schedule an appointment.
SPEAKING REQUESTS ONLY 
Event Title:
(Insert text here)
Subject of Event:
(Insert text here)
Event Location:
(Insert text here)
Event Duration:
(Insert text here)
Number of attendees:
(Insert text here)
 What do you see as the Senator’s role in your program?
(Insert texthere)
Requested topic(s) for remarks:
(Insert text here)
Do you want time for questions? If so, please indicate how muchtime you would like.
(Insert text here)
Speaking format:
(Insert text here)
Will there be a podium?
(Insert text here)
Will be there be a microphone?
(Insert text here)
Will anyone be introducing the Senator? If so, who?
(Insert text here)
Who else has been invited to speak?
(Insert text here)
Event agenda:
(Insert text here)
Who will be in attendance?
(Insert text here)

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