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Ten Steps to a Union Voice
Chairman: Rochelle Torres
Co-Chairman: Dale Swanson
yourvoice974@yahoo.com
309.698.6283
IF YOU ARE INTERESTED IN FORMING YOUR UNION WHERE YOU WORK, PLEASE FILL OUT THE FORM BELOW.
Name of Company:
Division of:
Company Address:
City:
State:
ZIP:
Personal Information
Contact Name:
Address:
City:
State:
ZIP:
Home Phone:
Cell:
Email:
Best time to reach:
Company Information
No of Employees:
No of Temps:
Wages:
Shift Times:
Customer(s):
Demographic Breakdown (%):
Men:
Woman:
Products manufactured of services performed:
Is this an Office-Clerical or Technical Unit?
Yes
No
Is this a multi-plant operation?
Yes
No
If yes, list locations:
Are other facilities of the company organized by the UAW?
Yes
No
If yes, list facilities:
Are other facilities of this company organized by other unions?
Yes
No
If yes, list facilites:
Is any other union involved at this location?
Yes
No
If yes, list other unions:
Any previous attempts made to organize this facility?
Yes
No
If yes, list and include approx time frame:
What are the issues?
*DO NOT TALK TO ANYONE ABOUT FORMING YOUR UNION