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* 1. Are you an HSU member?

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* 2. Do you agree to an enterprise agreement lasting two years?

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* 3. Do you endorse the log of claims attached?

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* 4. How important is fighting for the following conditions to you?

  Extremely important Important Least important Not important N/A or don't know what this is
Pay Rise – 10% over 2 years including allowances
Crib away allowance – paid when meal taken away from home depot
Missed meal allowance – 1 hour's pay
Infectious cleaning allowance
ATAs classified as paramedics and all classifications paid highest pay grade
Strong consultation clause over workplace change
Work Health and Safety clauses
Education and training conditions and leave
Paid domestic violence leave
Family and community services leave
ADHSU Delegate rights
Lockers
Dispute resolution procedures
Casual conversion to permanent employment
Union notice board
Standard equipment in vehicles
Flexible work practices
Uniform standards
Sick leave medical certificate only required after 2 consecutive days off

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* 5. It takes every worker in NPT to fight for better pay and conditions. Will you join the EBA campaign for better pay and conditions? (This will involve reading updates, signing petitions, attending meeting etc).

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* 6. Will you be an EBA campaign contact? (A campaign contact is someone who makes sure there is a two-way flow of information between the bargaining team and their workmates)

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* 7. If yes, please leave your details below:

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