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Education Registration Form
Fields marked with a (*) are mandatory
Name (*): Home Phone # (*):
Address (*): Email:
ONA Member ID:
Name of Employer (*):
Workshop Name (*):
Workshop Name (*):
Workshop Date (*): Workshop Location: (*):
  1. Are you on the Executive of your Local or Bargaining Unit Leadership Team?
    If yes, what position do you hold?
  2. Have you notified your Local Coordinator or Bargaining Unit President or his/her designate about your participation in this training?
  3. We hope to assess feedback from specific generations. Please select your age group.
  • Which of the following expenses do you anticipate being reimbursed for?
  • Local Coordinator will confirm if you have been approved for these expenses.