MEMBERSHIP APPLICATION FORM
The Workers' Health and Safety Legal Clinic (WHSLC) provides low-income workers without unions free access to advocacy, educational and law reform services in the fields of employment law and occupational health and safety.

Membership is free and includes such benefits as receiving the Clinic's newsletter, voting privileges at the Annual General Meetings and standing for election to the Board of Directors.

First name: *
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Last name: *
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Street address: *
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City: *
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Province: *
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Postal code: *
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Telephone: *
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e-mail:
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I hereby apply for membership to the Workers' Health and Safety Legal Clinic. I support the goals of the Clinic, which are to provide workers without unions free access to advocacy, educational and law reform services in the fields of employment law and occupational health and safety. *
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My interest in workers' employment and health and safety rights stems from:
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I am interested in contributing to the work of the Clinic in some or all of the following areas or capacities:
For more information about our Clinic’s services and membership requirements, contact us at the telephone numbers listed below:
Local 416-971-8832 / Toll free 1-877-832-6090 or visit: www.workers-safety.ca
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