IBEW37 Shop Steward Application

IBEW37 Shop Steward Application Form

Please read the Shop Steward Information Sheet before completing your application. Simply click the IBEW logo below.
Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City Province

Postal Code
Home Phone *

Area Code Phone Number
Work Phone

Area Code Phone Number
Mobile Phone/Text

Area Code Phone Number
Home Email *
Work Email
Workplace Information
Employer *
Classification *
Bargaining Unit (NB Power Employees)
Workplace Location (City/Town)
Workplace Description (Building, Floor, etc)
Areas of Interest

From time to time, members request assistance on a variety of subjects that do not specifically relate to the collective agreement. Please indicate if you have a particular interest or experience in one or more of the following areas.
Indicate areas of interest or experience :

Occupational Health & Safety Workers' Compensation & Workplace Insurance Health, Wellness & Benefits Job Classification & Evaluation Other - Please Specify :
Special Skills or Qualifications

Please summarize any special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports which would be helpful in your role as a Shop Steward.
Why do you want to be a Shop Steward?

In a few sentences, please describe why you want to be a Shop Steward and how you think you can contribute to IBEW Local 37.
*
Agreement & Signature

In accordance with Article VIII of the IBEW Local 37 Bylaws, I understand that if I am accepted as a Shop Steward, I shall work under the direction of the Business Manager.
Please type your full name *
Signature (use computer mouse)

Clear
Date

Month Day Year
Enter the message as it's shown *
You may submit this form electronically by selecting the SUBMIT button, or you may select the PRINT FORM button to send it via: fax - 1-877-437-0037; Internal Mail (NB Power members only); Email: local37@ibew37.com Print; or mail/drop-off: 138 Neill Street, Fredericton, NB, E3A2Z6
Should be Empty:

IBEW37 Shop Steward Application Form

Workplace Information

Areas of Interest

Special Skills or Qualifications

Why do you want to be a Shop Steward?

Agreement & Signature