(Print
or type everything but signature)
NAME
SEX
(Last)
(First)
(Middle)
ADDRESS
(Number
& Street)
(City)
(State) (Zip)
NABET-CWA MEMBER:
WHO
IS YOUR PARENT
(Last)
(First)
(Middle)
PARENT’S
OCCUPATION
EMPLOYED AT
(Call Letters or Name)
DATE
PHONE
NO.
SIGNATURE
OF APPLICANT
Applicant: RETURN TO THE LOCAL 51 UNION OFFICE. PLEASE DO NOT WRITE IN THE SPACE BELOW
*****************************************************************************************************************************************************
LOCAL PRESIDENT: Complete this application and return it before March 28, 2008, to: SECTOR OFFICE IN WASHINGTON, D.C.
APPLICANT’S PARENT IS: ( ) Retired ( ) Deceased, or ( ) Active Member in Good Standing
DATE
LOCAL PRESIDENT
LOCAL NO.
AUTHENTICATED BY DATE
/tnb
opeiu2afl-cio