2022 IAMAW 141 Delegate Profile Form

Name *

First

Last

Phone *

Local Lodge *

Your Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Are you a first-time delegate? *

Note: Only Delegates and invited guests are permitted to attend the General Session.

Are you bringing a companion to the Convention? *

Note: Only Delegates and invited guests are permitted to attend the General Session.

Number of Adult Companions

Number of Children

Do you work for United Airlines? *

Employee Number

Department Code

Please let us know where you work. Example: SFO CS, IAH CG, ORD CGO, etc.

Managers Name

Days needed

Destination

(Pre-filled)

Event Name

(Pre-filled)

Committee Assignments

Select your preferred committee assignments. Please make three choices, ranked from your first choice to your third choice. If you do not request a committee, your assignment will based on availability and the needs of the District.

First Choice *

Second Choice *

Third Choice *

We will do our best to give you your first choice of committee assignment.

What LOCAL LODGE Committees do you currently serve on? (Check all that apply.)

By-Laws
Communications
Community Service
Contract Administration
Credentials
Employee Assistance Program
Education
Finance
Human Rights
MNPL / Legislative
Organizing
Resolutions
Retirees
Rules
Safety
Steering
Women's

Food Allergies - please let us know if you have any dietary restrictions or allergies we should be aware of.

None
Cows Milk
Eggs
Tree Nuts
Peanuts
Shellfish
Wheat
Soy
Other / Not Listed

We will do our best to coordinate with the hotel to accommodate your needs. If you have a dietary requirement that isn't listed here, please contact Ann Clifford at (650) 554-1024.

2022 IAMAW 141 Convention Delegate Profile Form

Congratulations! Your Recording Secretary has registered you as a 2022 IAMAW 141 Convention Delegate. Now, please take a few moments to complete your Delegate Profile.

Committee Assignments