TALk to an organzier

Responses will be kept confidential by our staff.

Name

First Name

Last Name

Non-work Email

Non-work Phone Number

(###)

###

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Name of Employer?

Primary location of your workplace (city/state)

What is your job title?

Approximately how many people would be in the group you’re seeking to organize? This group shouldn’t Include managers or supervisors.

What are the most pressing issues you’d like to see addressed at your workplace by forming a union?

How did you hear about us?

Is there anything else you’d like to add that could be helpful for our organizing team to know about your situation?