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PBJ Shop Steward Report
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Your Name
*
Your answer
THIS REPORT IS FOR THE MONTH OF:
January
February
March
April
May
June
July
August
September
October
November
December
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Home Address (if changed)
Your answer
Cell Phone:
*
Your answer
Email:
*
Your answer
Employer:
*
Your answer
Department:
*
Your answer
How many people do you represent?
*
Your answer
In which month was the last Joint Board Meeting you attended?
January
February
March
April
May
June
July
August
September
October
November
December
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Did you sign any of your members up for PAC?
*
Yes
No
If yes, how many people?
Your answer
Did you file any grievances?
*
Yes
No
If yes, what were the issues?
Your answer
Was anyone in your department fired?
*
Yes
No
If yes, who was fired?
Your answer
Was anyone in your department laid off?
*
Yes
No
If yes, how many people were laid off?
Your answer
Did anyone in your department retire?
*
Yes
No
If yes, who retired?
Your answer
Was anyone hired in your department? If yes, tell us their name and hire date.
Your answer
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