UE Local 1186 Contact Sheet

Name: __________________________ Department: ______________________ Building:_____________

Date and Time of Contact: ________________________ Has worker received union mail? Yes No
(circle one)

Overall, this interaction was: Very Positive Too Brief Negative Very
(circle one) Positive To Assess Negative

Worker Rating: 1 2 3 4
Member Pro-union, didn’t join Uninterested Said “No” to joining

Issues of Concern for this worker:

________________________________________________________________________________________

________________________________________________________________________________________

Other Comments/Follow-up Suggestions: ______________________________________________________

________________________________________________________________________________________

Do you think this worker would be interested in becoming a steward or leader? Yes No

UE Local 1186 Contact Sheet

Name: __________________________ Department: ______________________ Building:_____________

Date and Time of Contact: ________________________ Has worker received union mail? Yes No
(circle one)

Overall, this interaction was: Very Positive Too Brief Negative Very
(circle one) Positive To Assess Negative

Worker Rating: 1 2 3 4
Member Pro-union, didn’t join Uninterested Said “No” to joining

Issues of Concern for this worker:

________________________________________________________________________________________

________________________________________________________________________________________

Other Comments/Follow-up Suggestions: ______________________________________________________

________________________________________________________________________________________

Do you think this worker would be interested in becoming a steward or leader? Yes No

Name of Member Organizer: ____________________________

Member name: ____________________________________

Member phone: ____________________________________ Ok to text? Yes No

Member email: ____________________________________

Member name: ____________________________________

Member phone: ____________________________________ Ok to text? Yes No

Member email: ____________________________________