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1. Information (Required.)

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2. What are the top three concerns you have at work right now? (Select only three) (Required.)

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3. How would you improve your working conditions? (Required.)

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4. Have you been part of a union before? (Required.)

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5. If yes, please indicate which union(s) you have been a part of if you remember. You may skip this question if you do not remember.

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6. What expectations do you have of us to represent you as your union?

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