HUCTW Petition Fall 2022

Your Name:*
(1) YOUR NAME (required):
First Last
(2) Your Harvard Affiliation

(2) YOUR HARVARD AFFILIATION (check all that apply):
- HUCTW member
- Member of other Harvard union
- Non-union Harvard staff member
- Harvard faculty
- Harvard graduate student
- Harvard undergraduate student
- Harvard retiree
- Harvard alumna/alumnus
- Harvard contractor or temp
- Friend from outside of Harvard
(3) Your Harvard School (if applicable):

(3) YOUR HARVARD SCHOOL OR DEPARTMENT (if applicable):
Your Signature

(4) YOUR SIGNATURE:
If you are on a computer, use your mouse or touchpad to sign. If you are on a smartphone, use your finger. Even if you are unable to sign in this field, you should still hit "Submit" on this form to add your name to the statement. Thank you!