SENgage - Invite a senator

Name *

Job title *

Email *

Phone number *

Requested date *

Flexible date
Specific date

Please provide information about the location of your event *

I am planning a visit to the Senate in Ottawa and would like my group to meet a senator there.
I would like the senator to speak to my group at our location.

The senator would be speaking to a *

School (elementary or high school) group
Cégep group
University/college course or department
University/college student club/event
Community organization/event
Other

School name/Organization name *

Course name/Event name

City *

Province / Territory *

Approximate number of participants

Would you like to request a particular senator? *

No
Yes

Is there any additional information you would like to provide?

How did you hear about this program?

Email
Website
Brochure
Twitter
Facebook
Instagram
Senate eNewsletter
Recommendation from a colleague/friend
Other