BROCKVILLE
MEMBER PICKETING SIGN UP

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Campus(Required)

First Name(Required)

Last Name(Required)

Email(Required)

Phone(Required)

OPSEU Membership Card number(Required)

Will you be picketing?(Required)

YES, I will be picketing

No, I will NOT be picketing

Do you require accomodation?(Required)

Yes, I would like to apply for an accommodation

No, I do NOT require an accommodation

To apply for an accommodation, please contact Kim Trudeau-Craig, Steward, Local 417, at kimtcopseu@gmail.com .

Do you have a problem regarding scheduling of picketing hours?(Required)

Yes, I have a problem with scheduling

No, I do NOT have a problem with scheduling

Please Select Your Campus

Calendar

January 2025

Sun	Mon	Tue	Wed	Thu	Fri	Sat
			1	2	3	4
5	6	7	8	9	10	11
12	13	14	15	16	17	18
19	20	21	22	23	24	25
26	27	28	29	30	31

January 13, 2025

January 14, 2025

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January 17, 2025

January 20, 2025

January 21, 2025

January 22, 2025

January 23, 2025

January 24, 2025

January 27, 2025

January 28, 2025

January 29, 2025

January 30, 2025

January 31, 2025

Confirm times?(Required)

Yes, I confirm the times that are listed above.

Phone

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