Advocacy Toolkit State Legislative Request Intake Form Share on Facebook Share on Twitter Share via Email If you would like an opinion from AAUW staff on whether your state’s proposed legislation or ballot measure aligns with AAUW’s public policy priorities, please fill out this form. AAUW staff will make a recommendation based on the information provided, so please be as thorough as possible. Name* First Last Email* StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingSelect your AAUW role or title*State presidentState public policy chairBranch presidentBranch public policy chairStudent leaderHas your state public policy chair been informed of this request?*YesNoSelect which AAUW public policy priority this request relates to*Economic security (e.g. pay equity, minimum wage, retirement security)Title IX (e.g., athletics, sexual violence on schools and campuses, bullying and harassment)Education (e.g., charters/vouchers, Common Core, STEM, higher education)Family-friendly issues (e.g., the Family and Medical Leave Act, paid sick days)Civil Rights (e.g., the Equal Rights Amendment, LGBT issues, voting rights)Reproductive rights and health careViolence against womenHuman traffickingWhat assistance do you need from AAUW?*Legislative opinion (e.g., Is the proposed position on this bill or measure consistent with AAUW's public policy program?)Field assistance or resources (e.g., action alerts, two-minute activist, staff technical assistance) Background Information Please provide as much information as possible on the bill or ballot measure for which you are requesting assistance.Bill or Ballot Measure Number:*(e.g., H.B. 15)Title of the bill or measure:Lead sponsor’s name, party, and district:Are you working on this bill as a member of a coalition?YesNoWhich coalition(s)? Analysis and AAUW's Role Please provide as much information as possible so that AAUW can play a unique and useful role.What is the AAUW member lead's anticipated role on this bill or measure?Leadership role to support passage of the bill or measureMember of a coalition to support passage of the bill or measureLeadership role to oppose passage of the bill or measureMember of a coalition to oppose passage of the bill or measureList groups supporting this bill or measure:List groups opposing this bill or measure:Is there a deadline? Are there upcoming hearings or anticipated committee actions? What is the timeline in which you need a response from AAUW staff?*Please provide any links to press coverage of the bill or measure: CommentsThis field is for validation purposes and should be left unchanged.