SEIU 1021 Member Census

The new 1021 Officers and Executive Board are asking you to fill out this survey & tell us about YOUR experience and what’s important to YOU. We’ll use the info to keep the local relevant and responsive to its members’ needs.

**We take our members' privacy seriously. All individual responses will be kept with the strictest confidence**

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* First Name and Last Name

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* Birthdate (MM/DD/YYYY)

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* Gender

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* What is your ethnicity/race?

Native American or Alaska Native

Asian

Black or African American

Native Hawaiian or Pacific Islander

White

Latinx

Other (please specify)

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* Do you feel you are getting enough information from your union?

Yes