Event Name
Description
Leadership Role
Please select your leadership role.
Education Ambassador
Ed Fund Member2Member
Ed Fund Staff
SEIU-UHW Staff
Executive Committee Member
What is your relationship with SEIU-UHW?
Are you?
Please select...
Kaiser employee
All Other Hospital/Clinic
Member Identifier
Last 4 Employee Id
Mobile Number
Your Info
Kaiser Facilities
Hospital/HCJ Facilities
Includes Staff (regardless of region), New Organization, and Healthcare Justice Facilities
Last Name
Employee ID (last 4 digits only)
Mobile
Enter the number we have on file, without spaces or other non numeric characters
Oops!
Sorry, form is not available.
Hidden
CampaignIdSharp
CampaignIdSharpSupporter
CampaignIdFinal
AccountIdKaiser
AccountIdHospital
AccountIdAllies
AccountId
Division
IdentityType
Form Closed
Yes
No
Leadership Role
Contact Information