Loyola Graduate Worker Union – Grad Student Info Form
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Personal Information:
Please provide the following information for union communication and representation.
First Name: *
Last Name: *
Pronouns: *
Department: *
Degree: *
Expected Graduation Year (estimate is fine): *
LUC E-mail Address:
Non-LUC E-mail Address:
Preferred E-mail Address for LGWU Contact: *
Cell Phone #: *
Are you currently employed by Loyola? *
If employed by Loyola, what is/are your job title(s)?
Are you an international student?
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Graduate Student/Worker Data:
Answering the following questions will greatly help the union's ability to provide concrete evidence about the realities of being a graduate student worker at LUC.

Please note that all of this information will be used as anonymous data, and your responses will remain confidential.
What percentage of your monthly income goes towards rent? *
Do you have children or other dependents? *
If yes, how many?
On average, how much per month do you spend on transportation? *
If you are a student worker, how many hours per week do you work on average?
What are your primary concerns re: conditions for graduate students/student workers? *
**Optional**  How much debt have you accrued during your time as a graduate student?
If you would like to elaborate on any of your answers, please do so here.
It is helpful for us to provide personal stories from graduate students about their experiences as graduate students/workers. Would you be willing to share your story publicly?
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