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Bruin Caucus

Your membership in Bruin Caucus provides you with volunteer opportunities to advocate on behalf of UCLA at our annual UCLA Day at City Hall, UCLA Day in Washington D.C. , and the UC Day Conference in Sacramento, Legislator-to-Campus visits, Candidate-to-Campus visits, Legislative Staff Briefings, and the District Outreach programs. The future of the UCLA depends on your support and participation as a member of Bruin Caucus. We look forward to working with you soon!


Salutation: Mr. Mrs. Ms. Dr.
First Name:
Last Name:
Home Street Address:
City:
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Title:

Business Name:

Business Street Address:
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Preferred mailing address: Home Business

1. UCLA Affiliations:
Degree Holder (Major: )
Donor
Alumni Association Member
Faculty
Staff
Student (Major: )
Community Partner
Friend

2. I am involved or would like to be involved in government relations programs at the:(choose all that apply)
Federal level
State level
Local level

3. I am interested in the following level of involvement: (choose one)
High — participation at UCLA Advocacy Days in Los Angeles, Sacramento, and Washington, D.C., and direct advocacy with elected officials.
Medium — Participation at district office meetings and community events.
Low — Letter writing and email.

4. Please list any political, business or community organizations to which you belong.

5. How did you hear about us?
Government & Community Relations website: www.advocacy.ucla.edu
UC for California website: www. ucforcalifornia.org
Event: Please specify:
Word of mouth
Staff outreach: please specify:
other: please specify:

 

   
advocacy@support.ucla.edu | Tel: (310) 794 6823 | Fax: (310) 794 6827
10920 Wilshire Blvd., Suite 1500, Los Angeles, California 90024-6517
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