Online Form

2009 Back-To-School Organizing Campaign

Thank you for your interest in participating in an AFT Organizing Campaign. Below is an application that we will use in our organizer selection and placement process. Please be sure to fill out the application completely. Completing the application, however, does not guarantee your selection for a particular campaign. If you have questions regarding the application, you may contact the AFT Department of Organization and Field Services, (202) 879-4466.

* Last Name:

* First Name:

* Mailing Address:

* City:

* State:

* Zipcode:

Work Phone Number:

Home Phone Number:

Cell Number:

Email Address:

Local number:

Occupation:

T-Shirt Size:

4X
3X
2X
X
L
M
S

Status:

Active
Retired

Race: What is your race or ethnicity? (Optional, however information will be helpful in ensuring that we include diversity as a factor in making assignments.)

African American
Caucasian
Hispanic
Other

Do you speak Spanish?

Yes
No

Are you willing to drive during the campaign?

Yes
No

* Driver's License Expiration Date:

Emergency contact person:

Emergency contact phone number:

In reviewing your summer calendar, please let us know any two week periods in July and August you will be unavailable for assignment.

Previous Back to School participation:

Yes
No

If yes, please provide the year and location

Travel information: Airport name (departure)

Please take the opportunity below to describe any union activities you have been involved with in the past or any roles or positions you may have held. You may also describe any expectations you may have regarding your participation in the 2009 Back-to-School Organizing Campaign.

Any additional comments or questions: