Fillable Application for Membership

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Application for Membership

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The Application for Membership form is 1 page long and contains:

  • 1 signature
  • 0 check-boxes
  • 17 other fields

Country of origin: CANADA
File type: PDF

BROWSE OTHERS (CANADA) FORMS

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January 2017
Application for Membership
Last Name:
First Name:
Gender
Male Female
Address:
City:
Province:
Postal Code:
Telephone:
Personal Email:
Employer:
City of Surrey
Address:
13450 104 Avenue, Surrey, BC V3T 1V8
Classification:
Department:
Full-time
Part-time
Casual/Auxiliary
Declaration
I, the undersigned:
apply for membership in the Canadian Union of Public Employees and its Local 402 and agree to
abide by its Constitution and By-law.
In applying for membership I understand that the Union intends to apply to be certified as my
exclusive bargaining agent and to represent me in the collective bargaining.
Applicant’s Signature Date (mm/dd/yyyy)
Instructions:
1. Complete each box on the form.
2. This form (once completed) should be uploaded using our secure system. OR: if you prefer not to
upload this document, it can be faxed (604-591-4517), mailed or physically returned to City of
Surrey HR, 13450 104
th
Avenue, Surrey BC V3T 1V8. The City of Surrey recommends that you do not
email the required personal information using unsecured systems.
Investment & Intergovernmental Relations
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Application for Membership

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Completed 17 February 2022

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