Union Authorization Card

Webform August 2, 2018

Through winning a union election, my colleagues and I will earn the right to bargain collectively and as equals with our employer over our pay, our working conditions and other conditions of our employment.

First Name: *

Please enter your first name.

Last Name: *

Please enter your last name.

Personal Email Address: *

Please enter your personal email address, NOT an email address provided by your employer.

Job Title:

Please enter your job title.

Employer: *

Please enter your employer.

Department:

Phone Number: *

Please enter your personal phone number.

Authorize Text Messages:

YES, sign me up to receive updates by text and automated calls. I understand that SEIU and its locals and affiliates may use automated calling technologies and/or text message me on my cellular phone on a periodic basis. SEIU will never charge for text message alerts. Carrier message and data rates may apply to such alerts. Text STOP to 55000 to stop receiving messages. Text HELP to 55000 for more information.

Today's Date: *

Please enter today’s date.

My Pledge: *

By submitting this form, I certify that I want to stand with my colleagues and to win a voice for ourselves and for the students that we teach, and that I support forming a union with Service Employees International Union (SEIU) Local 1021. I understand this card may be used to establish the necessary interest to hold a union election. Through winning a union election, my colleagues and I will earn the right to bargain collectively and as equals with our employer over our pay, our working conditions and other conditions of our employment.

SEIU 1021

Union Authorization Card

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