UNW Membership Application

I hereby make application to join the Union of Northern Workers, the Public Service Alliance of Canada (PSAC), and such other PSAC Component Union to whose jurisdiction I may eventually be reassigned.

The following information is confidential and will only be used in the interests of the member concerned

Are you:
Full Name
please enter your name as it appears on your pay stub from your employer
If you normally go by a different name than the one above, please enter it here:
Mailing Address
I identify my gender as:
If you are unsure which UNW Local you are in, please refer to the UNW Membership Structure
This information should be listed on your employment contract
(if applicable)
Employment Status
Voluntary Self-Identification Form
The information requested below is strictly confidential and will not be shared with any other organization, with the possible exception of the Public Service Alliance of Canada. This information will only be used to identify you as an Equity Group Member.
As the applicant is visually impaired/illiterate, this application was read to them inmy presence, they clearly indicated their understanding, and made their signature or mark in my presence.
Use your mouse, stylus, or finger to draw your signature below.