AASWSW Fellows Policy Engagement Reporting FormThe AASWSW Policy and Impact Committee is collecting information about Fellows’ policy-related activities. This information will help the Academy document its policy influence, highlight Fellows’ contributions, and inform future initiatives.Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Section 1: Fellow InformationName *FirstLast Have Website (check Institutional AffiliationTitle/PositionEmail Address *Reporting PeriodJanuary - December 2026January - December 2025Record relevant policy engagement last year, this year until present, and anticipated activities for the remainder of the year.Primary Policy Areas (check all that apply)Health PolicyChild WelfareMental HealthHousingCriminal JusticePoverty and InequalityAgingEducationWorkforce DevelopmentImmigrationOtherOther Policy AreaSection 2: Policy Research and PublicationsHave you published research relevant to public policy during the reporting period?YesNoPublication Type (check all that apply)Peer-reviewed journal articlePolicy briefBook or edited volumeBook chapterGovernment reportFoundation or think tank reportOtherCitation or DescriptionLink to PublicationWebsite/URL FieldBrief description of policy relevance Did this publication inform policy?YesNoNot sureDo you want to add another publication?YesNoPublication Type (check all that apply)Peer-reviewed journal articlePolicy briefBook or edited volumeBook chapterGovernment reportFoundation or think tank reportOtherCitation or DescriptionLink to PublicationWebsite/URL FieldBrief description of policy relevanceDid this publication inform policy?YesNoNot sureDo you want to add another publication?YesNoPublication Type (check all that apply)Peer-reviewed journal articlePolicy briefBook or edited volumeBook chapterGovernment reportFoundation or think tank reportOtherCitation or DescriptionLink to PublicationWebsite/URL FieldDid this publication inform policy?YesNoNot sureBriefly describe additional publications beyond those listed, or email listSection 3: Legislative and Policy EngagementType of engagement (check all that apply)Legislative testimonyCongressional briefingState legislative briefingDrafting legislationPolicy commentsRegulatory consultationAmicus briefOtherGovernment BodyU.S. CongressFederal AgencyState LegislatureLocal governmentInternational bodyBill/InitiativeDescriptionWebsite / URLSection 4: Government Advisory or Policy LeadershipRole type (check all that apply)Government advisory boardPolicy commissionLegislative advisory roleTask forceNonprofit policy advisory roleOtherBriefly describe roles and years of serviceSection 5: Policy-focused Media EngagementEngagement with national, international, and/or highly-influential media outletsMedia TypeNewspaper op-edMagazine articleTelevision interviewRadio interviewPodcast appearanceBlog commentarySocial media commentary/engagementotherMedia OutletTitle and DescriptionWebsite / URLAdd Another Policy-focused Media Engagement?YesNoMedia OutletTitle and DescriptionWebsite / URLAdd Another Policy-focused Media Engagement?YesNoMedia OutletTitle and DescriptionWebsite / URLAdd Another Policy-focused Media Engagement?YesNoMedia OutletTitle and DescriptionWebsite / URLAdd Another Policy-focused Media Engagement?YesNoMedia OutletTitle and DescriptionWebsite / URLSection 6: Policy Presentations or BriefingsPresentation TypeAcademic conferencePolicy forumCongressional briefingGovernment meetingProfessional association conferenceCommunity policy forumOtherPresentation TitleBrief DescriptionAdd Another Presentation?YesNoPresentation TypeAcademic conferencePolicy forumCongressional briefingGovernment meetingProfessional association conferenceCommunity policy forumOtherPresentation TitleBrief DescriptionAdd Another Presentation?YesNoPresentation TypeAcademic conferencePolicy forumCongressional briefingGovernment meetingProfessional association conferenceCommunity policy forumOtherPresentation TitleBrief DescriptionAdd Another Presentation?YesNoPresentation TypeAcademic conferencePolicy forumCongressional briefingGovernment meetingProfessional association conferenceCommunity policy forumOtherPresentation TitleBrief DescriptionAdd Another Presentation?YesNoPresentation TypeAcademic conferencePolicy forumCongressional briefingGovernment meetingProfessional association conferenceCommunity policy forumOtherPresentation TitleBrief DescriptionSection 7: Policy Awards and RecognitionName of AwardAwarding OrganizationDescriptionAdd Another Award?YesNoName of AwardAwarding OrganizationDescriptionAdd Another Award?YesNoName of AwardAwarding OrganizationDescriptionSection 8: Additional ContributionsOther policy activities you would like the Academy to know about. Examples: court testimony, major policy grant funding, leadership of policy coalitions, etc.DescribeSection 9: Permission to ShareMay AASWSW highlight your work in Academy communications?YesYes, with prior approvalNoSubmit
