CORNWALL
MEMBER PICKETING SIGN UP

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Campus

First Name(Required)

Last Name(Required)

Email(Required)

Phone(Required)

Do you have a dependant?

Dependants

Click on the "+" to add more dependants

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

4 Hour Block

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

January 15, 2025

January 16, 2025

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

This field is for validation purposes and should be left unchanged.