Community Member Survey

Member Survey

We will be drawing one name from the completed replies we receive every two months and sending that lucky member a Community Baseball Cap.

Community Baseball Cap

Member Survey

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* First Name
* Last Name
* National Insurance Number
* Date of Birth
* Address
Town
* Post Code
* Telephone No.
Mobile
* Email
Job Title

IndustryCarpet
Steel
Community Working
Community Non-working
Wire
Other manufacturing
Other
Institute of Football Management and Administratio
NLBD
NUDAGO (Domestic Appliances)
Betting
Textile
Footwear
Voluntary
BUSWE

Department
Area or RAD No.
Shop Number
Employer Name
Address
Town
Post Code
Your Branch Name
Your Branch Number
Your Branch Affiliations

Branch Positions heldPresident
Vice President
Union Learning Rep
Committee Member
Works rep
EC member
Health and Safety Rep
Branch Secretary
Joint Branch rep
Community rep

Please state any other relevant branch activity

Please check any of the following positions that apply to youSchool governor
Local Councillor
Volunteer group
Justice of the Peace
Foster carer
Samaritans
Drug/ Alchohol
NSPCC
Greenpeace

Please give details of anyother community or anyother volunteer organisations
Are you a member of a political party, and if so, which one?
Please state the name of your constituency
Please state the name of your local council

Please check the following that apply to youMale
Female
White British
Asian British
Black British
White Irish
White European
Chinese
Mixed
Other

Age16-20
21-25
65+
Retired
26-30
31-35
36-40
41-45
46-50
51-55
56-60
61-65

Do you have any children under 16? If so how many?
Do you have any children over 16? If so how many?
Do you care for any relatives?
Is English your first language?
If not, what is your first language?
What newspapers do you read?
What local radio stations do you listen to?
What are your weekly contracted hours?
Average Overtime in hours?
Shift pattern (eg 5-7, 6-2 2-10)
Is your contract...

Does the union hold a copy of your workplace handbook?

Does the union hold a copy of your dicipline and grievance procedures?

Please check any training you have done with CommunityOne day Course
Two day course
Five day course
H&S Introductory course
H&S Intermediate
H&S Advanced

Please give details of any TUC training you have completed
Please give details of any GFTU training you have completed
Please give details of any further education you have taken through Communitas

For what reason are you most likely to contact your union?Disciplinary representation
enquire about training
Suggest an idea
Update personal details
Help with Terms and Conditions
Other
Get more involved in region
Grievance representation
Make a complaint
Introduce a new member
Get legal advice
Take advantage of benefits

Any suggestions or comments

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Member Survey

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