All the fields are required, except the personal message. They are the minimum that most legislators in D.C. require to email them. We don't like form letters, but it's essentially the same thing to vote Yes or No and leave the message blank, which is fine with us. We will not use this information to contact you in the future and we will not disclose it to anyone beyond the parties in the To: and Cc: fields.
Yes, grant him the license
No, reject his application