UAW 4123 Membership Card

Together, we can make a difference in the CSU!

UAW Local 4123 membership means the right to participate in the union. Membership builds our collective power to win higher pay, more benefits, and better protections at CSU.
First Name*
Last Name*
Email*
Phone Number
Campus*
Social Security Number*
REQUIRED BY CSU
Department Employed
Expected Graduation Term
Department Enrolled
This is your major (if applicable)
Office/Lab Location
Are you an undergraduate student or graduate student?*

UndergraduateGraduate
Classification (all that apply):*

ISA (Tutor/Peer Mentor/SI Leader/Grader)Graduate Assistant (GA)Teaching Associate (TA/GTA)
Classification (all that apply):*

ISA (Tutor/Peer Mentor/SI Leader/Grader)Graduate Assistant (GA)Teaching Associate (TA/GTA)None
I hereby declare myself a member of the UAW. I authorize the Union to deduct an initiation fee and dues consistent with the Union's Constitution and Bylaws.
Signature*

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I WANT TO HELP MAKE MY UNION STRONGER! Contact me about getting involved.
CAMPUS:
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TA?
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GA?
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ISA?
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MEMBER?
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ACTIVE?
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