Picket Duty Sign-UP

Picket Duty Signup

United in our Pursuit of Justice
Name*

First NameLast Name
Employee ID#
E-mail*
example@example.com
Phone*
Choose a Location*
Please commit to two shifts per week
Select a day for your first shift*
Select a shift on that day*

12:00am - 4:00am4:00am - 8:00am8:00am - 12:00pm12:00pm - 4:00pm4:00pm - 8:00pm8:00pm - 12:00am
Select a day for your second shift*
Select a shift on that day*

12:00am - 4:00am4:00am - 8:00am8:00am - 12:00pm12:00pm - 4:00pm4:00pm - 8:00pm8:00pm - 12:00am
Additional Day (Optional)
Select a shift on that day

12:00am - 4:00am4:00am - 8:00am8:00am - 12:00pm12:00pm - 4:00pm4:00pm - 8:00pm8:00pm - 12:00am
Are you a shop steward?

yesno
Should be Empty:

Picket Duty Signup