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.
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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.

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