CWA Local 3176

Stewards Form

If selected as Job Steward, I the undersigned, agree to attend training and to diligently apply my training and subsequent experience to ensure that the Collective Bargaining Agreement is enforced and to work under the direction of the President or his designee. Understanding that I have a duty of fair representation under the law, I further agree to abide by the By-Laws of Local 3176, the CWA Constitution, and any applicable Labor Laws. I will maintain accurate records of all my activities; ensure the accuracy and privacy of all records that come into my possession. I will return all such records to the Local President upon leaving my position with the Union.

First Name:

Last Name:

Address:

City, State:

Postal Code:

- *

Phone:

E-Mail Address:

Work Location:

NCS Date (Hire date)

Seniority Date (Union)

Which is the best way to contact you?

Phone
Email
Old-fashioned U.S. Mail

When is the best time to contact you?

Daytime
Evening
Weekdays
Weekends

Explain in 25 words or less why you want to be a Steward:

By clicking this button, you are agreeing to the terms set at the top of this page.

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