JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
IUE-CWA Mentorship Program Local Endorsement Form
Local officers - please fill out this form for any members from your local who are applying for the program.
The member applying will not see your responses on this form.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Local Number
*
Your answer
Union Member that you are endorsing for the program
*
Your answer
Local officer name
*
Your answer
local officer cell
*
Your answer
Approximately how long has the applicant been a member?
*
Your answer
What union activities has the applicant participated in, if any? (none required to apply)
*
Your answer
Why are you endorsing this applicant?
*
Your answer
Do you have any concerns about this member participating in the program?
*
Your answer
Do you foresee any issues paying lost time and per-diem for your endorsee to travel up to four times per year? Keeping in mind it is reimbursed by the International.
Option 1
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of CWA.
Report Abuse
Forms