Oregon AFSCME Member Census

First Name

Preferred Name

Last Name

Preferred Pronoun He/Him She/Her They/Them

Personal Email

Employer

Date of Birth

Mobile Phone

Opt in for text messages? Yes

What language(s) are you fluent in? ChineseEnglishSpanishVietnameseRussianOther

What is your preferred language? Chinese English Spanish Vietnamese Russian Other

Are you a veteran? YesNo

If you answered yes to the previous question, which branch?

Do you rent or own? RentOwn

Housing Type House Condo Apartment

Are you a parent? YesNo

Are your children school aged? YesNo

Have you attended a local union meeting? YesNo

Are you registered to vote? YesNo

Which political party do you align with most? Green Democratic Republican Libertarian None Prefer not to say

Which social media platforms do you follow us on? FacebookYouTubeTwitterInstagram

Unions are strongest when members get involved. Are you interested in being more actively involved in your local union? YesNo

What issues are you interested in hearing about? PERSPEBB/HealthcareVeterans issuesLegislationSteward training Local contract negotiationsCommunity activities Local politicsNational politics Organizing new members Social justice workLegal decisionsStudent debt reliefAFSCME free college Other

Training Union Should Offer New steward trainingAdvanced steward trainingEquity and inclusion Microaggressions and other forms of discrimination in the workplaceUnion leader training

We want to make sure you get information important to you and your job. How do you most like to be communicated with? TextPhone callWork site meetingWork site flyerHome visit E-mailTele town hallSocial media

What is your least preferred communication method? TextPhone callWork site meetingWork site flyerHome visitE-mailTele town hallSocial media

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