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
Local Number *
Union Member that you are endorsing for the program *
Local officer name *
local officer cell *
Approximately how long has the applicant been a member? *
What union activities has the applicant participated in, if any? (none required to apply) *
Why are you endorsing this applicant? *
Do you have any concerns about this member participating in the program? *
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.

Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of CWA. Report Abuse