Empire State Pride Agenda

I want to get involved with Pride in Our Union

First Name:

Middle Initial:

Last Name:

Union:

Local:

Member:

Staff:

Union Leader:

Business Name:

Work Address:

City:

State:

Zip:

Work Phone:

Home Address:

City:

State:

Zip:

Home Phone:

Email:

Please check all that apply:

	I want to learn more about the Pride in Our Union Program
	I want to join the Pride in Our Union Committee (member)
	I want to join the Union Staff Committee (staff)
	I want to join the Pride in Our Union Leadership Advisory Committee (union leaders)
	I want to request a speaker on LGBT workplace issues for my union event
	I want to share language in my contract against discrimination and for equal benefits
	I want my union to adopt language in my contract against discrimination and for equal benefits
	I want my union to adopt a resolution for marriage equality
	I want to organize my union to sponsor me to go to Equality and Justice Day

For more information, contact our Upstate Director of Pride in Action, Sheilah Sable, at 518-472-3330 x303, or email union@prideagenda.org.