Please note that
all communication with the UNMC Delegates will be electronic. We are requesting
your home address to determine your state and federal Congressional district
and respective representatives. The information you provide will be used solely
in conjunction with the UNMC Delegates program and will not be released to outside
sources. This is a secure form, as designated by the SSL icon (padlock) in the
lower right or left corner of your browser.
* First Name:
Cell Phone (optional):
– Please check all that apply *
areas of interest - Please check all that apply *
State/Federal policy issues
If you reside
in Nebraska, please list your state senator.
If you are unsure,
you may leave blank or click
Please list any
personal contacts you have in the U.S. Congress or the Nebraska state legislature
whom you know well.
If a need arises,
are you willing to personally contact those you listed above on issues important
the "Submit" button, you will be asked to enter your email address
to receive the Delegates electronic newsletter, which will be sent once a
month. This is the primary way of communicating UNMC news and events
to the Delegates and is the final step in registering for the program. If you choose not to receive the newsletter, you will not receive the necessary
information to advocate on behalf of UNMC.
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