Membership Application:
(Note: Fields marked with are required information.)
(All data you submit remains confidential. Check our Confidentiality Policy.)
Surname: Given names:
Nationality: Visa type: Length (years):
E-mail: Phone:
Alt. e-mail: Alt. phone:
Postal Code: Prefecture (if applicable):
City: Ward (if applicable):
Further address details:
Main University: Campus:
Since: Full-/Part-time [F/P]: Tenured? [Y/N]
Contract length (years): Written contract? [Y/N]
Other universities (if applicable):
University: Campus: Since:
University: Campus: Since:
University: Campus: Since:
University: Campus: Since:
Please list any other union(s) of which you are currently a member:
If you have any previous union experience, please describe it:
Please list any professional organizations (JALT, TESOL, JACET, etc) to which you currently belong:
Please list any human rights or NGO group you belong to that might prove helpful to UTU:
Spoken Japanese:
Written Japanese:
If you have any special skills or abilities that might prove useful to the union, please describe them:
UTU needs your support. Can you devote some time to union activities during the year?
Your Reasons for Joining UTU - Please select all that apply:
I am currently involved in a labour dispute.
Deteriorating conditions make the possibility of dispute seem imminent.
Working conditions on campus need to be improved.
I believe in labour solidarity and would like to help.
Other (Please explain below):
I have read and accept the UTU Privacy and Confidentiality Policy (link at top of page).