People's Labour Project - Worker Intake
Great to have you reaching out. Every workplace struggle has its own unique features and challenges to build a winning majority. We're eager to get to know yours.

This form is to help us start identifying your needs, interests, demands and concerns -- including:
- Who you are, where you are, and how to contact you
- A few initial details about your workplace and situation
- How far along you are in organizing or crafting a plan (no wrong answers here)
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Email *
First Name *
Last Name *
Pronouns
Mobile Number *
City / Town / Region *
Province *
Where do you work? (You may be specific as you would like here. Feel free to name your employer. But you can also say something like "a warehouse in Vancouver" or "a restaurant in Halifax", etc.) *
How many people work there? *
Are you in a union? *
What's going on at your workplace? (Issues, problems, fears, etc.) *
What can we do for you? (Check any that apply) *
Required
Do you know anyone who is already part of PLP? Or, how did you hear about us?
Any support or access needs you'd like us to keep in mind? (eg. "need less screen time and more phone conversation", "English is not my first language", "my schedule is very limited")
Anything we missed that you'd like to add?
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