MTV/BET/CMT will be hosting a town hall with President Obama in Washington D.C. on Thursday October 14th at 4pm ET. If you are interested in being involved and are 18 years or older we would love to meet you. Please email townhallaudience@mtvnmix.com and put "Town Hall" in the subject line along with the following information:

Please note that these questions are meant to ensure that our audience represents very diverse interests and political views.

Name:
Phone Number:
Hometown:
In school? What school? Working? What job?
What issues, if any, are you interested in or passionate about? (e.g. Jobs, Health Care, Education, Immigration, etc.)
How would you describe your political views? (Please note that this question is meant to ensure that our audience represents very diverse interests and political views.)


*Please attach a current picture of yourself.