Champions of Change Reunion Survey

Champions of Change Reunion Survey

The White House is considering hosting a reunion in Washington, D.C. for all former Champions of Change during late November or early December 2016.

If you are interested in attending and would like to receive more information, please submit a response below. We will follow up with more information at a later date.

Would you attend a Champions of Change reunion in late Nov/early Dec 2016 in Washington, D.C.? *

Yes, very likely.

Maybe, somewhat likely.

No, not likely.

First Name *

Last Name *

Phone Number

Email Address *

Address

City

State

Zip

Champions of Change Event *

Year Honored *

What have you been doing since you were honored as a Champion of Change?

How have you used your designation as Champion to create more change since you were honored?

*Required Field