IATSE 3rd 2019_web

EDUCATION AND TRAINING
NEGOTIATIONS/COLLECTIVE BARGAINING
NEGOTIATIONS/COLLECTIVE BARGAINING
PUBLIC SPEAKING TELLING OUR UNION STORY
PUBLIC SPEAKING & TELLING OUR UNION STORY
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Applications must be submitted to the I.A.T.S.E. Education Department at least 3 weeks prior to the beginning of the course.
Applications must be submitted to the I.A.T.S.E. Education Department at least 3 weeks prior to the beginning of the course.
PARTICIPANTS PARTICIPANTS MUST MUST ATTEND ATTEND THE THE COURSE/S IN IN WHICH THEY THEY ARE ARE ENROLLED ENROLLED IN IN THEIR THEIR ENTIRETY ENTIRETY TO GRADUATE TO GRADUATE
AND AND TO TO RECEIVE THEIR CERTIFICATE FOR FOR THAT THAT COURSE. COURSE.
PL EASE PRIN T L L EGIB LY LY
1. 1. APPLICANT
LAST LAST NAME NAME FIRST NAME MIDDLE MIDDLE INITIAL INITIAL
NAME NAME AS YOU AS YOU WISH WISH IT TO IT TO APPEAR APPEAR ON ON DIPLOMA, if if different from above:
CELL CELL PHONE PHONE
_
_
-
-
_- _________
_- _________
STREET ADDRESS
HOME PHONE
STREET ADDRESS
HOME PHONE
______- -
______- -
CITY STATE/PROVINCE ZIP/POSTAL CODE WORK PHONE:
CITY STATE/PROVINCE ZIP/POSTAL CODE WORK PHONE:
- _- ____
EMAIL ADDRESS (please print)
- _- ____
EMAIL ADDRESS (please print)
SOCIAL MEDIA HANDLES/USERNAMES, IF APPLICABLE:
SOCIAL FACEBOOK MEDIA HANDLES/USERNAMES, IF APPLICABLE: TWITTER INSTAGRAM
FACEBOOK TWITTER INSTAGRAM
2. CHOOSE ONE COURSE
2. CHOOSE CLASSES ONE WILL BE COURSE HELD FOLLOWING THE GENERAL EXECUTIVE BOARD MEETING, BEGINNING MID-DAY ON FRIDAY, JANUARY 31,
2020 AND ENDING AT APPROXIMATELY 6 P.M. ON SATURDAY, FEBRUARY 1, 2020
CLASSES WILL BE HELD FOLLOWING THE GENERAL EXECUTIVE BOARD MEETING, BEGINNING MID-DAY ON FRIDAY, JANUARY 31,
2020 AND ENDING
Negotiations/
AT APPROXIMATELY
Collective Bargaining
6 P.M. ON SATURDAY, FEBRUARY 1,
Public
2020
Speaking and Telling Our Union Story
3. LOCAL Negotiations/ UNION INFORMATION
Collective Bargaining
Public Speaking and Telling Our Union Story
LOCAL NUMBER LOCAL UNION CITY/ STATE POSITION AT LOCAL HOW LONG IN CURRENT
3. LOCAL UNION INFORMATION
OFFICE
LOCAL NUMBER LOCAL UNION CITY/ STATE POSITION AT LOCAL HOW LONG IN CURRENT
OTHER UNION POISITIONS PREVIOUSLY HELD:
OFFICE
OTHER
4. APPLICANT
UNION POISITIONS
SIGNATURE
PREVIOUSLY HELD:
I certify that all the information on this form is true and complete to the best of my knowledge. I agree that the I.A.T.S.E. can share my name with its
General Executive Board and with any local union. I consent to the use by I.A.T.S.E. of my name or likeness to promote or publicize the I.A.T.S.E.
4. APPLICANT (whether in print SIGNATURE
or electronic form or otherwise). I hereby release I.A.T.S.E. from any and all liability for using my name or likeness and waive all
I certify claims that against all the I.A.T.S.E. information arising on from this the form use is of true such and information. complete I to also the hereby best of grant my a knowledge. license to I.A.T.S.E. I agree to that use the my name I.A.T.S.E. or likeness can share and my expressly name with its
General disclaim Executive all rights Board to all and value with and any benefit(s) local union. I.A.T.S.E. I consent may gain to the through use by the I.A.T.S.E. use of such of information.
my name or likeness to promote or publicize the I.A.T.S.E.
(whether SIGNED in print or electronic form or otherwise). I hereby release I.A.T.S.E. from any and all liability for using my name DATE or likeness and waive all
claims against I.A.T.S.E. arising from the use of such information. I also hereby grant a license to I.A.T.S.E. to use my name or likeness and expressly
disclaim all rights to all value and benefit(s) I.A.T.S.E. may gain through the use of such information.
SIGNED 5. AUTHORIZATION FROM THE LOCAL UNION EXECUTIVE BOARD
DATE
I certify that I.A.T.S.E. LOCAL endorses the enrollment of the above named applicant in the I.A.T.S.E. Officer Institute.
SIGNED
DATE
5. AUTHORIZATION FROM THE LOCAL UNION EXECUTIVE BOARD
I certify
TITLE
that I.A.T.S.E. LOCAL
SIGNED
endorses the enrollment of the above named applicant in the I.A.T.S.E. Officer Institute.
DATE
WWW.IATSE.NET
FOR I.A.T.S.E. EDUCATION DEPARTMENT USE
TITLE APPLICATION RECEIVED STATUS AND NOTIFICATION INITIALS
FOR I.A.T.S.E. EDUCATION DEPARTMENT USE
Return Completed Application via Email or Mail to:
APPLICATION RECEIVED STATUS AND NOTIFICATION INITIALS
I.A.T.S.E. Officer Institute, 207 West 25th Street, Fourth Floor, New York, NY 10001
Email: officerinstitute@iatse.net Facebook/Twitter: @iatse
Return Return Completed Application via Email or or Mail to: to:
I.A.T.S.E. Officer I.A.T.S.E. Institute, Officer 207 West Institute, 25th Street, 207 West Fourth 25th Floor, Street, New York, Fourth NY 10001 Floor, New Email: York, officerinstitute@iatse.net
NY 10001
Email: officerinstitute@iatse.net Facebook/Twitter: @iatse
36 OFFICIAL BULLETIN