Other Key Local Officials/Non-Elected Officials Please list any other local municipal and township elected officials or other community leaders with whom you have a personal relationship that you would be willing to approach on behalf of Shared Harvest Foodbank regarding legislative issues. (Ex. Mayor, council members, CEO’s of major corporations/organizations, civic leaders, foundation executives, association staff)
Advocacy Survey With which of the following public officials, all of whom represent part of Shared Harvest’s service area, do you have a personal relationship, and how would characterize that relationship?

United States House of Representatives/District #

Submitting Form...

The server encountered an error.

Form received.

United States Senate

Ohio State Senate/District #

Ohio State House of Representatives/District #

Other State Officials

Local Legislators

Butler County Commissioners

Darke County Commissioners

Miami County Commissioners

Preble County Commissioners

Warren County Commissioners

If Foodbank staff provided you with the appropriate background information, would you be willing to

(Please check all applicable responses):


Contact one or more of the elected officials listed above? In what ways would you be willing to help Shared Harvest get results on important advocacy issues?

If you would like to retain a copy of this form, please print before submitting