AFL-CIO Volunteer Questionnaire Survey

1.Please enter your name, address, email, and phone number(Required.)

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

2.Are you a NATCA RNAV member?(Required.)

Yes

No

3.Please enter the facility from which you retired.(Required.)

4.In which year did you retire?(Required.)

5.Please list your NATCA experience

6.Please list the amount of volunteer time you anticipate being able to provide per week.(Required.)

7.Please check YES, acknowledging that you understand this is strictly a volunteer position. There is no pay, mileage reimbursement, or reimbursement for other expenses associated with this volunteer work.(Required.)

Yes

8.Would you like to subscribe to text message (SMS) news alerts from NATCA using your mobile number? NATCA only will use texting for the most important news from our Union. Participation in SMS/text messaging is not required to be a NATCA member or to participate in NATCA events. Members may unsubscribe from receiving texts from NATCA at any time.(Required.)

Yes

No

9.By entering my mobile number in the box below, I verify this mobile number is mine and that I have the right to register for this service. I also demonstrate my understanding that message and data rates may apply for mobile alerts and that NATCA is not responsible for any fees that may apply to users by their wireless carrier.

Mobile number to receive text messages (example - 5555551212):

10.I agree to abide by the NATCA Code of Conduct, which I understand is in effect for the duration of any NATCA organized event. Attendees are expected to conduct themselves at all times in a manner in keeping with representing NATCA. I recognize that this Code does not establish a complete set of rules that prescribes every aspect of appropriate behavior.

NATCA Code of Conduct(Required.)

Yes