King Hall - Unsafe Learning & Working Conditions
This form is for any and all Cal State LA employees and students to share their feedback and experiences regarding the unsafe learning and working conditions on our campus, specifically, Martin Luther King, Jr Hall. 

If you have any questions, please contact kinghallkills@gmail.com. Any and all identifiable information will be kept confidential. 

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First Name *
Last Name *
Your role *
Email (non-CSU) *
Phone number
May we contact you via text and/or email?
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Have you witnessed any unsafe conditions at King Hall? (Flooding, tiles falling, etc.. If so, please explain.)
Have you ever received trainings about exposure to asbestos, chemicals or any hazardous material exposures? (If so, please explain.)
Have you developed any health conditions since working/learning at King Hall? Whether you believe it's directly connected, or not, to King Hall (autoimmune, cancer, etc.).
If comfortable, can you name or describe the health conditions, symptoms you experience? 
Would you be interested in filing a grievance with your union? 
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Have you already filed a complaint or inquiry with Cal/OSHA on the safety hazards in King Hall? 

If you are an employee and have not yet filed a complaint, please contact them to do so at 866-924-9757 or DOSHLA@dir.ca.gov. 
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Are you interested in sharing your concerns about King Halls conditions (whether to administration, students or publicly)?
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Would you be interested in participating in any meeting with administration? 
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Please share any testimonies or concerns about King Hall safety here. 
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