Complete and submit this form to request Congressman Kean's appearance at a meeting, speaking function, or a non-speaking function. Due to the Member's schedule, not all requests can be filled.Current Page 1 Page 2 Page 3 Page 4 Complete Indicates required field Activity DetailsType of Request:- Select -Appearance (non-speaking)Meeting RequestSpeaking RequestVirtualIf Virtual which platform:If Virtual which platform:- None -ZoomTeamsOther…Enter other…Location of Event:- Select -In DistrictIn Washington, DC or elsewhereEvent Address:AddressCity/TownState/Province- None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingZIP/Postal CodeDate of Engagement:MonthMMJanFebMarAprMayJuneJulyAugSepOctNovDecDayDD01020304050607080910111213141516171819202122232425262728293031YearStart Time:End Time:Number of Attendees:Topic of Engagement:Constituents Attending?- Select -YesNoDetails: CAPTCHA: enabled to secure this form. If you are having difficulty using Captcha's visual option, please visit the Accessibility page for more assistance.