First Name

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* 1. First Name

Last Name

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* 2. Last Name

Email address

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* 3. Email address

Cell Phone Number

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* 4. Cell Phone Number

Accept Text Messages

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* 5. Accept Text Messages

Where do you work?

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* 6. Where do you work?

Years of service

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* 7. Years of service

Group Status

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* 8. Group Status

What hours do you normally work?

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* 9. What hours do you normally work?

Please list in order the three (3) issues that are most important to you to be addressed in the new contract? (1 being most important)

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* 11. Please list in order the three (3) issues that are most important to you to be addressed in the new contract? (1 being most important)

Are there any OTHER important issues you would like addressed in the new contract? (Please be specific)

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* 12. Are there any OTHER important issues you would like addressed in the new contract? (Please be specific)

Are you currently working in a premium position?

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* 13. Are you currently working in a premium position?

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