Grassroots Engagement Form

LeadingAge advocates across the country are connecting with their elected officials on a regular basis to share their stories and issues that are important to them. You can be an Advocacy Champion by working with your elected officials and reporting on the engagement that you have in your community. We encourage you to report these interactions, so we can highlight and track your efforts for our advocacy campaigns. Please take a few minutes to fill this form and share with us the great advocacy work you are doing in your local community. *We may use your stories and pictures for social media.