Name
First Name
Last Name
Unit
What topics or areas would you like to see improved or added in the next contract?
Would you be interested in becoming a union leader or representative on your unit?
Yes
Maybe / I’d like to learn more
No
Between now and 2028, we’ll continue working to improve staffing and hospital conditions through legislative efforts. Would you be interested in participating in legislative actions—such as lobby days, sharing your story, or contacting lawmakers?
Yes
Maybe / I’d like to learn more
No
If yes, please provide your phone number:
Please enter a valid phone number.
Format: (000) 000-0000.
Submit
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