NYMHCA Grassroots Advocacy Network

NYMHCA's efforts to advance our profession are successful with the support of our members.  To be a part of those efforts and our calls for action please fill out the form below.

Survey

Convention Registrations

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Name:.

Full Address Including Zip Code:

Email Address:

Please tell us if you have previous experience lobbying state legislators, when you did that, and who you lobbied:

Please tell us if you have a personal relationship with a state legislator:

Please tell us what else we need to know about you:

Degree/ Credentials/License(s):