Attach the Letter You Wrote to the Back of This Form

Name ______Period ______

FORM W Writing a City Official, Legislator or Congressional Representative

Identify a local, state or federal issue of interest to you and write a letter to a local city official, your legislator or your congressional representative..

Attach the letter you wrote to the back of this form.

Issue: ______

Legislator/ Congressman Contacted: ______

Briefly but completely explain why this issue is of interest to you:

Why did you choose to contact the particular legislator/congressman?

Identify, using MLA citation formatting, 3 sources you used to gather information about the issue before you wrote your letter.