81381 FSW Member Contact Form

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During this time of crisis, it is critical that the union has accurate and up-to-date contact information for ALL FSW members, so we can provide important updates easily and effectively. Please take a moment to complete this form with your information and encourage your colleagues to do so as well.

Email *

Are you a FSW member? *

Yes

Unsure

First Name *

Last Name *

Personal Email Address *

Personal Cell Phone Number *

Building *

111 Westfall

691 St. Paul

Bivona Child Advocacy Center

City Place

Monroe Children's Center

Monroe Community Hospital

Visitation Center

Other:

Unit/Team *

Adult Protective Services

Care Management

Centralized Document Management

Child Support

Child Protective Services

Emergency Housing

Employment

Foster Care

HEAP

Medicaid

Preventive Services

Quality Review Team

Residential

Self-Sufficiency

SNAP

Special Investigation Unit

Training and Development

Waiting Room

Other:

Required

Floor (if applicable)

Shift (if applicable)

First

Second

Third

Clear selection

Mailing Street Address *

City *

State *

Zip Code *

Would you like to sign up for text updates?

Yes

Would you like to get more involved with the union?

Yes

If you would like to get more involved with the union, please select which committee(s) you are interested in learning more about.

Communications Committee

Education Committee

Elections Committee

Health & Safety Committee

Membership Committee

Political Action Committee

Social Action Committee

Women's Committee

Other:

Submit

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