Membership Application:
(Note: Fields marked with
►
are required information.)
(All data you submit remains confidential. Check our
Confidentiality Policy
.)
Surname:
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Given names:
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Nationality:
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Visa type:
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Length (years):
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E-mail:
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Phone:
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Alt. e-mail:
Alt. phone:
Postal Code:
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Prefecture (if applicable):
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City:
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Ward (if applicable):
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Further address details:
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Main University:
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Campus:
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Since:
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Full-/Part-time [F/P]:
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Tenured? [Y/N]
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Contract length (years):
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Written contract? [Y/N]
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Other universities (if applicable):
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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:
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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:
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Good
Fair
Poor
Written Japanese:
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Good
Fair
Poor
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?
Definitely
Probably
Hopefully
Unlikely
Your Reasons for Joining UTU - Please select all that apply:
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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):
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I have read and accept the UTU Privacy and Confidentiality Policy (link at top of page).
