In order for your application to be considered, all questions must be completely answered and a resume must be included. You must have a valid drivers license and commit to travel and possible relocation to be eligible.

	First Name:
	Last Name:
	Current Address:
	City:
	State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware D.C. Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Select a State Zip:
	Home Phone:
	Work Phone:
	Permanent Address:
	City:
	State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware D.C. Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Select a State Zip:
	Home Phone:
	E-mail:
Which training would you like to attend?
AUSTIN, TX - Sep 14-Sep 16 2012 MINNEAPOLIS, MN - Jun 08-Jun 10 2012 LITTLE ROCK, AR - May 18-May 19 2012 AUSTIN, TX - Apr 20-Apr 22 2012 PORTLAND, OR - Feb 10-Feb 12 2012           View Training Agenda

Answer all questions as briefly or with as much detail as you wish.

Note: Spaces are limited at the three-day training, and only those who qualify in the three-day training will receive placement as apprentice organizers. We look forward to receiving your application.

1. Current Position

Please describe what you're doing now and how this relates to your interest in becoming a union organizer.

2. Current and Past Union Involvement, Social or Political Action

What is your union background and your family's union background, if any?
What other types of community, political or social welfare groups have you been involved in?

3. Work Schedule and Location

Can you make a commitment to work long and irregular hours including nights and weekends? Are you willing to travel and relocate extensively?

4. Motivation

Why do you want to be a union organizer?

5. Other

Is there any work or volunteer experience in your background on which you would like to elaborate?

6. Please Include Your Résumé

Upload your résumé in ".doc", ".pdf", ".txt" format
(Application without résumé will not be considered.)

Have you been interviewed by a recruiter? Yes No

What language(s) other than English do you speak fluently ?

Valid driver's license? Yes No

If no, date expected

If you are a union member, are you being sponsored by your union? Yes No

How did you hear about the program?

If you found us on the Internet, what was the name of the website?

List names, addresses and phone numbers of two individuals who can speak on your behalf. One reference must be a previous or current employer.

	Name:
	Title:
	Organization:
	Phone:
	Address:
	City:
	State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware D.C. Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Select a State Zip:
	Relationship to Applicant:
	E-mail:
	Name:
	Title:
	Organization:
	Phone:
	Address:
	City:
	State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware D.C. Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Select a State Zip:
	Relationship to Applicant:
	E-mail: