Yes! I'd like to explore the possibility of participating in the AAPA's Congressional Visit Program
Name
Address
City
State
Zip
Home Phone
Work Phone
E-mail
Field of Practice
Congressional District or Name of Representative
Have you ever met with your current Senators, Representative, and/or their staff before?
Do you have a special relationship with any of your legislators or their staff? For example, have you ever worked on a campaign or do you know them socially?
Possible dates you might be available to visit
Best time and way to contact you
Is there another PA or PA student who might like to accompany you on a Congressional visit?