Complete and submit this form to request Representative Kim's appearance at a meeting. 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 DetailsLocation of Event:- Select -In DistrictIn Washington, DC or elsewhereIs there a virtual option available?- Select -YesNoAddress:Preferred Date:Preferred Date:Preferred Date:: MonthMonthJanFebMarAprMayJunJulAugSepOctNovDecPreferred Date:: DayDay12345678910111213141516171819202122232425262728293031Preferred Date:: YearYear202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050First Date Available:MonthMMJanFebMarAprMayJuneJulyAugSepOctNovDecDayDD01020304050607080910111213141516171819202122232425262728293031YearLast Date Available:MonthMMJanFebMarAprMayJuneJulyAugSepOctNovDecDayDD01020304050607080910111213141516171819202122232425262728293031YearDo you have any additional information about your availability?Estimated Number of Attendees:Number of Attendees from New Jersey’s 3rd Congressional DistrictDetails and Legislative Priorities to be Discussed