RSVP for January 17th Event with Rep. Farivar and the University of Washington

From the Office of Rep. Darya Farivar

Question Title

* 1. What is your first and last name?

Question Title

* 2. What is your email?

Question Title

* 3. Would you like to stay up to date on events and legislation related to my work on issues affecting Middle Eastern and north African (MENA) communities? If yes, click here.

Yes

No

Question Title

* 4. Do you have any affiliation with a community organization?

Question Title

* 5. What Legislative support would make the biggest difference to your household this year? Are there any issues specifically impacting your household?

Question Title

* 6. Will you require any accommodations such as interpretation, translation, or any ADA accommodations?

Question Title

* 7. How many total people are attending in your party?

1

2

3

4

5

6+