Your Mailing Address To Receive Printed Materials from IWW (Optional but helpful)
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Your Phone Number (Optional but helpful)
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How do you prefer that we contact you? What is the best time to contact? *
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What does your employer do? (eg: Car Wash, Grocery, etc.) *
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How long have you been employed with this business? *
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Do you work at a physical location or are you a remote worker? *
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How many total employees does your employer have? (Estimate is fine) How many are at your work location? *
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Have you had discussions with your fellow workers about organizing? How did those discussions go? How many are interested? *
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What are your principle grievances? (eg: low pay, unsafe working conditions, mistreatment, sexual harrassment) *
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What are your goals for organizing with the IWW? *
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Are you currently represented by a labor union? If so, which union? *
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Are you currently a member of the IWW? If no, would you like to talk to a delegate about joining? *
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Would you be interested in attending an online meeting with our Organizing Committee to discuss your workplace situation? *
Please give us a fun code name that we can use to refer to your place of employment for security purposes (eg: "Pain at the Pizzeria" or "Big Box Blues")
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Do you have any additional questions or comments for us?
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A copy of your responses will be emailed to the address you provided.