First Name:
Middle/Initial:
Last Name:
Gender:
Female
Male
Gender X
Birth Date:
/
/
Home Address:
Address Line 2
City:
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
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Maine
Maryland
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Michigan
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Ohio
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South Carolina
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Tennessee
Texas
Utah
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Virginia
Washington
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American Samoa
Federated States of Micronesia
Guam
Marshall Islands
Northern Mariana Islands
Palau
Puerto Rico
U.S. Minor Outlying Islands
Virgin Islands
Armed Forces Americas
Armed Forces Europe, the Middle East, an
Armed Forces Pacific
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut Territory
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
Province (Foreign)
Zip Code:
-
Zip Suffix
Phone:
Race/Ethnicity
Fax:
Email:
Email:
Spouse
Extended Contact Information
Would you like FMC to CC your assistant on email communications?
Assistant First Name
Assistant Last Name
Assistant Phone
Assistant Email
Local
Are you currently a registered lobbyist?
Which chamber(s) did you serve in? (select all that apply)
Party Affiliation: (Select all that apply)
State/Territory Represented
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
In which Congress did you first serve?
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
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121
122
123
124
125
Year Entered - House1
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
What was your last year in the House of Representatives? (If you served non-consecutive periods in office, please enter the final year of your first period in office.)
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
If you served non-sequential periods in the House of Representatives, in what year did you return?
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
If you served non-sequential periods in House of Representatives, in what year did you leave again?
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
What was your first year in the Senate? (Leave blank if you did not serve in the Senate.)
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
What year did you leave the Senate?
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Committees served on: (Please check all that apply)
Select Committee on the Modernization of Congress
Select Committee on the Climate Crisis
House Agriculture
House Appropriations
House Armed Services
House Budget
House Education and the Workforce
House Energy and Commerce
House Ethics
House Financial Services (Banking)
House Foreign Affairs
House Administration
House Homeland Security
House Judiciary
House Natural Resources
House Oversight and Government Reform
House Rules
House Science, Space, and Technology
House Small Business
House Transportation and Infrastructure
House Veterans' Affairs
House Ways and Means
House Permanent Select Intelligence
Senate Agriculture, Nutrition, and Forestry
Senate Appropriations
Senate Armed Services
Senate Banking, Housing, and Urban Affairs
Senate Budget
Senate Commerce, Science, and Transportation
Senate Energy and Natural Resources
Senate Environment and Public Works
Senate Finance
Senate Foreign Relations
Senate Health, Education, Labor, and Pensions
Senate Homeland Security and Governmental Affairs
Senate Judiciary
Senate Rules and Administration
Senate Small Business and Entrepreneurship
Senate Veterans' Affairs
Senate Indian Affairs
Senate Select Committee on Aging
Senate Select Committee on Ethics
Senate Select Committee on Intelligence
Joint Economic Committee
Joint Committee on Printing
Joint Committee on Taxation
Joint Committee on the Library
Did you serve in a leadership office? (Please select all that apply.)
Other elected/appointed positions
Other offices
Current or former Ambassador
AmbassadorPost
Afghanistan
African Union
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Asia Pacific Economic Cooperation
Association of Southeast Asian Nations
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burma
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Conference on Disarmament
Democratic Republic of the Congo
Republic of the Congo
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
European Union
Fiji
Finland
France
Gabon
The Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Holy See
Honduras
Hong Kong and Macau
Hungary
Iceland
India
Indonesia
International Civil Aviation Organization
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jerusalem
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
North Atlantic Treaty Organization
North Korea
Norway
Oman
Organisation for Economic Cooperation and Development
Organisation of Islamic Cooperation
Organisation for the Prohibition of Chemical Weapons
Organization of American States
Organization for Security and Cooperation in Europe
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Samoa
Saint Vincent and the Grenadines
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United Nations
United Nations Agencies in Rome
United Nations Educational, Scientific and Cultural Organization
United Nations Environment Programme
United Nations Human Rights Council
United Nations International Organizations in Vienna
United Nations and Other International Organizations in Geneva
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Western Sahara
World Trade Organization
Yemen
Zambia
Zimbabwe
Ambassador-at-Large for Counterterrorism
Ambassador-at-Large for Global Women's Issues
Ambassador-at-Large for International Religious Freedom
Ambassador-at-Large for War Crimes Issues
Ambassador-at-Large for Monitor and Combat Trafficking in Persons
Colleges/Universities attended1
Colleges/Universities attended2
Colleges/Universities attended3
If you served in the U.S. Armed Forces, which branch did you serve in?
Army
Marine Corps
Navy
Air Force
Coast Guard
Additional information from your military career:
Boards
Languages
Other languages
Countries visited
Personal Interests/Hobbies
Interested in International Travel
Interested in Congress to Campus
Domestic Issues
Other Domestic
International Issues
Other International
Your Annual Membership Fees
Membership: