SAGE Advocacy Interests Form

First Name

Last Name

Phone number

City

State

Zip Code

Other:

How have you been involved with SAGE's advocacy in the past? (select all that apply)

Attended a meeting with legislatorsAuthored an op-ed or LTECalled or wrote to my senatorsI am a SAGE SpokespersonI have not been involved with SAGE in the past

What are you most interested in working on with SAGE?

Becoming a SAGE Storyteller - utilizing my unique voice and perspective to the change hearts and minds of elected officials in my stateBecoming a SAGE Spokesperson - speaking out about the topics I am expert in with SAGE staff or reporters to amplify the issues faced by and perspectives of LGBT elders in the mediaBecoming a SAGE Ambassador - sharing local and national initiatives with my community to rally support

How can SAGE's advocacy team better support you?

Direct communication more oftenScheduling informative calls to go over action items Sending action alerts more often Organizing a robust training on becoming a SAGE Storyteller Other

Other:

Housing	Discrimination
Healthcare	Veterans Issues
Social Isolation	Faith
Providing Inclusive Aging Services	Other