Schedule Virtual Event

First Name *

Last Name *

Organization

Address *

Address 2

City *

ZIP Code *

State *

Email *

Confirm Email *

Phone Number *

Phone Type

Day-of Contact Phone Number

Name of Event *

Legislative Issue *

First Date Available *

Last Date Available *

Event Start Time *

Who is Sponsor/Host of the Event? *

Is this a recurring event? *

Is this event open to the press? *

Preferred Online Platform *

If "Other" platform, please specify

Audio Options * (select all that apply)
ComputerPhoneOther

If "Other" audio, please specify

Would you like Congresswoman McClellan to be on video? *

Accessibility Provided at Event * (select all that apply)
American Sign LanguageLive CaptionsNone of the aboveOther

If "Other" accessibility, please specify

Please list all invited elected official/VIP guests

Please describe Congresswoman McClellan's role (Guest, Keynote Speaker, Awardee, etc.) *

Would you like the Congresswoman to speak? *

Will this event be filmed? *

If a conflict arises, would a substitute work in her absence? *

Is there additional information you would like to provide?

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