Maternity Grievance Survey
Please answer the following questions with as much information as possible. If you were on multiple maternity leaves from December 2014 to present, please complete a separate survey for each leave. A maternity leave refers to the time you left work due to pregnancy or birth until 12 months after the birth of your baby.

If you have already completed and submitted this form in another format, there is no need to submit another copy.

This survey will be open until Monday, February 12, 2018. If you have any questions, please contact MEC Grievance Committee Chairperson Stephanie Adams at (206) 852-4750 or stephanie.adams@afaalaska.org.

Email address *
Full Name *
First and last
Your answer
Start Date of Maternity Leave *
MM
/
DD
/
YYYY
End Date of Maternity Leave *
MM
/
DD
/
YYYY
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