Senator for a Day

First Name *()**	Invalid Input
Last Name *()**	Invalid Input
Grade	Invalid Input
Street Address *()**	Invalid Input
City *()**	Invalid Input
State *()**	Invalid Input
Zip *()**	Invalid Input

Parent/Guardian	Invalid Input
Street Address	Invalid Input
City	Invalid Input
State	Invalid Input
Zip	Invalid Input
Phone (H)	Invalid Input
Phone (W)	Invalid Input
Phone (C)	Invalid Input
Email *()**	Please let us know your email address.

Nominator's Name *()**	Invalid Input
School Name	Invalid Input
School Address *()**	Invalid Input
School Phone *()**	Invalid Input
Best contact email for school/teacher *()**	Please let us know your email address.
Reason for Nomination *()**	Invalid Input
*()**	Invalid Input

eNewsletter & Texting Alert Sign-up

Chicago Office:
8233 S. Princeton
Chicago, IL 60620
PHONE: 773.933.7715
TEXT: 773.839.4737

Springfield Office:
218 Capitol Building
Springfield, IL 62706
PHONE: 217.782.3201