Practice Picketing Captain Sign up

Practice Picketing Captain Sign up

If you are interested in being the Practice Picketing Captain for your worksite, please fill out the interest form below. Captains will be responsible for communicating with CAPS staff, receiving posters via mail, distributing information and material to colleagues, gathering and organizing folks the day of the informational picket, among other duties.
Name

First NameLast Name
Phone Number
Please enter a valid phone number where we would be able to reach you on the day of the event.Format: (000) 000-0000.
Email
example@example.com. Please include your preferred email.
Worksite Name
Include Department and Office/Division Name
Worksite Address

Street Address

Street Address 2

CityState / Province

Postal / Zip Code
What type of Practice Picketing Captain are you?
Are you seeking a co-captain?
How often are you holding Practice Pickets?
Time & Meeting Place of Practice Pickets
i.e. what time will the practice picket start, and will you be picketing the main entrance? etc.
Practice Picketing Captains need to be visible and accessible to their worksites. The specific information listed below will be made available to CAPS members unless you opt out.
- Name
- Worksite Name
- Worksite Address
If you select the button below, you are opting-out of providing your information.
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Should be Empty: