PUBLIC HEARING REPLY FORM

Persons wishing to present testimony at the public hearing on the proposed DREAM Acts are requested to complete this reply form as soon as possible and mail, email or fax it to:

Eric Jacobsen
Committee Assistant
Assembly Committee on Governmental Operations
22nd Floor - Alfred E. Smith Building
Albany, New York 12248
Email: jacobsene@assembly.state.ny.us
Phone: (518) 455-4355
Fax: (518) 455-7250
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I plan to attend the following public hearing on the proposed DREAM Acts to be conducted by the Assembly Committees on Governmental Operations and Higher Education on Friday, December 9, 2011.
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I plan to make a public statement at the hearing. My statement will be limited to 7 minutes, and I will answer any questions which may arise. I will provide 15 copies of my prepared statement.
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I will address my remarks to the following subjects:


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I do not plan to attend the above hearing.
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I would like to be added to the Committees' mailing list for notices and reports.
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I would like to be removed from the Committees' mailing list.
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I will require assistance and/or handicapped accessibility information. Please specify the type of assistance required:


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