Elected Official Academy Form * Denotes required field Name: Title: Municipality: Home Street Address: City: State: Zip: Daytime Phone: Evening Phone: Fax: Email Address: Date First Elected: Length of Time in Elected Office: Hometown media sources (including addresses) for news release purposes:Newspaper: Radio: Television: You and your municipality's Social Media address(es):Twitter: Facebook: Select the moon Submit
119 Washington Avenue Albany, NY 12210 518.463.1185119 Washington Avenue Albany, NY 12210 518.463.1185