Gorilla Legislative Network Application Form

It's easy to become a member.  Please complete the form.  Once the application is received, a member of the Alumni and Constituent Relations staff will contact you to confirm your information and alert you to upcoming training sessions.
On the next page you can add more individuals before submitting your name(s).
Gorilla Legislative Network Application Form Questions
Please select your desired level of engagement:
  Receive emails
  Will contact legislators
  Will attend training & events
  All of the above
  Other(please list below)
Please check your preferred way of contacting legislators:
  All of the above
Please list legislators you have relationships with:
Please click add attendees to add more individuals who would be interested in becoming a member of the Gorilla Legislative Network.

Click complete registration to submit your name(s).
Attendee Information
* Required Field
Cell Phone
Address (line 2)
*Zip Code
Your Employer
Your Business Address
Your Business City
Your Business State
Your Business Zipcode
Your Job Title