Workforce Security Initiative Pledge Form

Workforce Security Initiative Pledge

A project by Organized Power in Numbers & NEW Houston.
Add your name and business information here to take the pledge to protect the rights of your business and your workers. By signing this pledge you commit to learning and enforcing your 4th and 5th Amendment rights in your business.

Optionally, you can also choose to add your name to the list publicly or make yourself available to speak with the press if requested. If you'd like to do either of these things, simply select yes when asked below.
Your Name*

First NameLast Name
Your Role?*
Your Phone Number*
In case organizers have follow up questions about businesses contacted.
Your Email*
example@example.com
Business Information
Business Name*
Business Street Address*
Business Zip Code*
Business Phone Number
Please enter a valid phone number.
Take the Pledge

Select what actions you commit to below
I commit to*

Learning more about my 4th and 5th Amendment Rights and asserting those rights in the workplace.Reviewing the Worksite Safety & Signage Info Sheet and posting signage to clearly mark non-public areas.Putting up a poster in a visible area to communicate publicly that we value workplace safety and our constitutional rights.
Do you want to be named as a pledge signer?*

YesNo
Would you be open to talking to the press about your commitment to stand up for your rights and those of your workers?*

YesNo
Notes or Questions
Please add any additional comments or questions here.
Should be Empty:

Workforce Security Initiative Pledge