Black Caucus Membership Form
What is your first and last name? *
What are your preferred gender pronouns? *
What is your preferred email address? *
What is your preferred phone number for text or calls? *
Select which mode of communication you would like to use to receive information about the Black Caucus. *
Required
Which Oregon AFSCME Local are you a part of?
Who is your current employer? *
Are you currently a union steward?
Clear selection
Are you interested in becoming a union steward?
Clear selection
Next
Never submit passwords through Google Forms.
This form was created inside of Oregon AFSCME Council 75. Report Abuse