Delegate Election form

Before you fill in this form, please CLICK HERE to read the FAQs and instructions.

The delegate term is two years. During this time, your role is to:

represent E tū members in your workplace
recruit new members, activists, and leaders
engage with members and get them involved to build a better workplace
be actively involved in bargaining collective agreements and other union activities
keep yourself and your colleagues informed about current union matters.

E tū rules can be viewed HERE.

Name:*
Membership number (if known)
Personal contact details:
Address*
Street address Address line 2 City Postcode
Mobile phone*
Home phone
Email*
Employer details
Employer name*
Physical address
Street address Address line 2 City Postcode
Postal address
If different from the physical address:
Site manager
Site manager's mobile
Site manager's email
Election details
Delegate elected/re-elected on*
MM slash DD slash YYYY

Term: two years
Nominated by (name of member nominating delegate)*
Membership number (if known)
Seconded by (name of member seconding nomination)*
Membership number (if known)
Name of previous delegate (if applicable)
Union organiser's name (if known)
Consent*
I accept this nomination and confirm I am willing to fulfill the role to the best of my ability and comply with E tū rules in doing so during this term.

Personal contact details: