Steward Application
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Work Location
*
Cell Phone
*
Work Phone
*
Non Government Email
*
example@example.com
Work Title/Grade
*
Work Schedule
*
5-8
5-4-9
6-12-8
2-8, 2-12
6-12-8
Other
Supervisor
*
Supervisor Phone Number
Supervisor Email
*
Total Years Federal Service
Are you a probationary employee
*
Yes
No
Why do you want to be a Steward?
*
Additional Comments
Are you a member
*
Yes
No
Submit
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