Local 5147 2023 HRH Contract Survey

2020 Contract Survey

Our contract expires at the stroke of midnight, December 31st, 2023. This survey will help us formulate specific contract proposals by identifying issues that the membership feels need addressing. Once compiled, a summary of our bargaining priorities and proposals will be provided to you – and you will have a chance to ask any questions about them at a membership meeting. Please complete this survey by September 22nd, 2023.

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1. Please provide us with your contact information (Required.)

Name *

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address *

Cell Number

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2. Home phone

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3. Title (Required.)

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4. Department (Required.)

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5. Shift (Required.)

Days

Evenings

Nights

Various

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6. Employment Status (Required.)

Full Time

Part Time

Per Diem

Disability

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7. Length of Employment at facility (Required.)

0-3 years

4-10 years

11-20 years

> 20 years

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8. I give HPAE permission to send me text messages.

Yes

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9. Preferred contact method?

Cell Phone

Home Phone

Text

Other (please specify)

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* 1. Please provide us with your contact information (Required.)

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* 2. Home phone

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* 3. Title (Required.)

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* 4. Department (Required.)

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* 5. Shift (Required.)

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* 6. Employment Status (Required.)

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* 7. Length of Employment at facility (Required.)

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* 8. I give HPAE permission to send me text messages.

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* 9. Preferred contact method?

1. Please provide us with your contact information (Required.)

2. Home phone

3. Title (Required.)

4. Department (Required.)

5. Shift (Required.)

6. Employment Status (Required.)

7. Length of Employment at facility (Required.)

8. I give HPAE permission to send me text messages.

9. Preferred contact method?