ROCS-UAW Authorization Card

ROCS-UAW Authorization Card

We’re Joining Together for a better Mount Sinai
We are joining together as a union so we can bargain collectively with Mount Sinai. We are also joining thousands of other UAW researchers across the US to build our political voice to increase science funding and protect the rights of international scholars.
Name

First NameMiddle NameLast Name
Position/Title
Department
Email
example@example.com
Mobile Phone
Please enter a valid phone number.Format: (000) 000-0000.
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Start Date at Mount Sinai
DD/MM/YYYY
PI
Building
Office/Lab Room #
Are you funded by an individual fellowship or training grant? (e.g. NIH, Simons)?
If Yes, which grant?
If Yes, how is your pay distributed?
I hereby join with my co-workers to improve our wages, our working conditions, and our lives. I authorize the Researchers Organizing Committee at Sinai—International Union, United Automobile, Aerospace and Agricultural Implement Workers of America (ROCS-UAW) to represent me in collective bargaining. I understand that I will not pay dues or fees until a contract has been democratically approved by Mount Sinai researchers.
Sign by Typing Your Full Legal Name
First and Last
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Employer
I would like to get involved in our efforts to win a strong first contract for ROCS-UAW.
What matters most to you as a researcher at Mount Sinai?
As part of the union, I would like to negotiate a contract with Mount Sinai that (check all that apply):
Should be Empty:

ROCS-UAW Authorization Card

What matters most to you as a researcher at Mount Sinai?