Join The UI Advocacy Network

Membership

To get involved in the UI legislative advocacy network, fill out and submit the form below.

Legislative Advocacy Form
* Denotes required fields.

Name:*

Street Address:*

City:*

State:*

 

Zip:*

 

Home Phone:

 

Business Phone:

 

E-mail:*

 

Fax Number:
(only if you don't have e-mail)

 

I am a current student.

Yes No

Parent of a current UI student.

Yes No

I am a UI graduate.

Yes No

I am a friend of the University of Iowa.

Yes No

If yes, my graduation year(s)

 

If you have any other questions or comments, please feel free to enter them here:

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