New Coalition for Healthy Families and Workplaces Sign Up

1. Sign On Form

I support earned sick days for workers and would like to join the Coalition for Healthy Families and Workplaces. Please add my coalition to the endorsement list.

1. Name:

Name:

2. Organization:

Organization:

3. Title:

Title:

4. Address:

Address:

5. Phone:

Phone:

6. Email:

Email:

7. Fax:

Fax:

8. Website:

Website:

9. Please check off tasks your organization is able to do:

Please check off tasks your organization is able to do: Contact or meet with members of Philadelphia City Council

Testify at public hearings and/or attend Thursday Council Sessions

Participate in a rally and/or other media events

Write a letter to the editor or an op-ed

Publish an article about earned sick days for your organization’s newsletter

Sponsor an event for your members/activists

Send action alerts to E-Newsletter lists (the coalition can provide sample alerts)

Identify workers and businesses willing to share their story

Collect Coalition post cards

Attend Coalition meetings – Mondays at 3:00 at 1520 Locust Street - 7th Floor

Other (please specify)

10. The Coalition for Healthy Families and Workplace’s earned sick days campaign will be devoting periods of time in the coming weeks to different issues and/or constituency groups affected by a lack of paid sick days for Philadelphia workers. Please check off the issue area or affected constituency you can help with:

The Coalition for Healthy Families and Workplace’s earned sick days campaign will be devoting periods of time in the coming weeks to different issues and/or constituency groups affected by a lack of paid sick days for Philadelphia workers. Please check off the issue area or affected constituency you can help with: Businesses

Civil/Human Rights

Disability

Faith Leaders and religious congregations

LGBT Citizens

Medical Professionals

Organized Labor

Primary Education and Childcare

Public Health

Senior Citizens

Universities and students

Women, Children and Families

11. If you know of any other groups, organizations, or businesses that the Coalition should reach out to to join, please include that below:

If you know of any other groups, organizations, or businesses that the Coalition should reach out to to join, please include that below:

If you have questions please contact:

Coalition for Healthy Families and Workplaces

Phone: 610-543-5022 x255

Email: kscully@pathwayspa.org

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