2026 District 141 Convention Delegate Profile Form Please enable JavaScript in your browser to complete this form. - Step 1 of 5Name *FirstLastYour Email *Please give us your personal email address. For security reasons, we cannot accept company email accounts.Phone *Local *Your Local 14136851156180481184584691494910441287132213511445148716351725172617311759177617811782183318851886193219792198221023192339G2508255926652725276529092930Your Mailing Address *Address Line 1Address Line 2CityState / Province / RegionPostal Code--- Select country ---AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryNextAre you a first-time delegate? *SelectYesNoAre you a retiree? *SelectYesNoOn Wednesday October 28th, We will have an evening dinner cruise on the San Francisco Bay. Will you be attending?SelectYesNoWill you be bringing a guest?SelectYesNoName of guest (Space is limited ONE registered guest per delegate) *FirstLastIs guest 21+ *SelectNoYesPreviousNextDo you work for United Airlines? *SelectYesNoDo you need us to request time off for you to attend this event? *SelectYesNoEmployee NumberAirport or Station CodePlease let us know where you work. Example: SFO, IAH, ORD, etc.Please tell us what department you work in.SelectFleet ServiceMove TeamPassenger ServiceReservationsCentral Load PlannersStorekeepersFTI & RelatedMaintenance InstructorsSecurity OfficersCargo SalesATO SupportBaggage Resolution CenterOtherManagers NameFirst Day Off NeededLast Day Off NeededDestinationSFOSFO(Pre-filled)Event NameIAM District 141 ConventionIAM District 141 Convention(Pre-filled)PreviousNext Please make your committee assignment choices from the following options below. First Choice *FirstBylawsCommunicationsCommunity ServiceContract AdminCredentialsEducationEAPFinanceHuman RightsMNPLOrganizingResolutionsRetireesRulesSafety/HealthSteeringWomensSecond Choice *SecondBylawsCommunicationsCommunity ServiceContract AdminCredentialsEducationEAPFinanceHuman RightsMNPLOrganizingResolutionsRetireesRulesSafety/HealthSteeringWomensThird Choice *ThirdBylawsCommunicationsCommunity ServiceContract AdminCredentialsEducationEAPFinanceHuman RightsMNPLOrganizingResolutionsRetireesRulesSafety/HealthSteeringWomensWe will do our best to give you your first choice of committee assignment. What LOCAL committee Roles do you currently hold? (Check all that apply.) *By-LawsCommunicationsCommunity ServiceEmployee Assistance ProgramEducationFinancesHuman RightsMNPL / LegislativeOrganizingRetireesSafetyWomen'sNoneAre you currently serving as a Local Officer? *YesNoPlease Choose PresidentVice PresidentSecretary-TreasurerRecording SecretaryConductor SentinelTrusteeAuditorPreviousNextUpdating preview…This is a preview of your submission. It has not been submitted yet! Please take a moment to verify your information. You can also go back to make changes.Single Line TextMake Corrections (If Needed)PhoneSend Info >>
