New Resident Survey

All new residents age 18 and older are encouraged to fill out my New Resident Survey, which will help me better serve you. With the information you provide, I will be able to send you relevant information that is specific to your life, including any legislative changes that may affect professional licenses you hold and outreach events that may benefit you.

Of course, this information will not be sold or used for other purposes.
Leaving this box checked verifies that you would like to receive email updates from this state representative

2. Are you a new Montgomery County resident? *


3. Are you a veteran? *


4. What branch of the military did you serve? *






6. Do you hold any Pennsylvania-issued professional licenses for your job? *


8. Would you like to receive any state forms and/or applications? *