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NY State AFL-CIO/Cornell Union Leadership Institute

341 ILR Research Building, 607-255-4462

Sponsoring Union Nomination Form

Dear Union Leader:

We are very pleased that your organization has decided to nominate and sponsor an individual to attend the New York State AFL-CIO/Cornell Union Leadership Institute. Submission of this nomination form begins the review process for your nominee. Once this form has been received by our office, you will be contacted by phone to continue the evaluation. Please provide below the phone number at which you are most easily reached for this discussion.

Please complete the Sponsoring Union Nomination Form. All fields of the form must be completed for your nomination to be accepted (except for fax and cell phone numbers, if the person doesn't them). You may add additional nominees using the "Add another nominee" button at the bottom of the form.

Nominations must be received by April 1 to be considered for this Summer's program.

Union Sponsor Information

Sponsoring Union:

Individual Sponsor Name:

Title:

Street Address:

City:

State:

Zip Code:

Union Telephone:
(with area code)

Cell phone:
(with area code)

Fax:
(with area code)

Email:

Financial Officer Information

Please provide financial contact information (person to whom tuition invoices will be sent).

Financial Officer Name:

Title:

Street Address:

City:

State:

Zip Code:

Telephone:
(with area code)

Fax:
(with area code)

Email:

Participant Information (Union Nominee)

Please fill out this information about your nominee, and answer the four brief questions that follow.

Name:

Union Title:

Union Address:

City:

State:

Zip Code:

Union Telephone:
(with area code)

Cell phone:
(with area code)

Fax:
(with area code)

Email:

1. Is the nominee an elected officer?

2. Is the nominee a staff member?

3. How long has the nominee been in this position?

4. Is the nominee's position one of significant responsibility? If so, please briefly describe areas of responsibility.

Financial Approval:
By submitting this form I agree on behalf of our organization that our organization will provide the financial support necessary for the nominee’s participation. This constitutes a tuition payment of $7,800 plus travel and lodging costs for each seminar minus any applicable financial aid.

ILR School, 309 Ives Hall, Cornell University, Ithaca, NY 14853