NAPE Member Card Registration Form

Personal Information

Your First Name

Your Middle Name

Your Last Name

Your Date of Birth*

Are you updating your contact information?*

Yes
No

Have you completed a member registration card before (online or paper version)?*

Yes
No

Are you trying to change/update your last/family/married name?*

Yes
No

If yes, please provide your current/former full name (so we can find it in our system and adjust accordingly)

Gender*

Male
Female
Other

Your 4 digit NAPE Local Number (if you know it)

Please enter a number from 1000 to 9999.

Contact Information

Your Home Address*

Street Address Address Line 2 City Postal Code

Your HOME phone number

Your WORK phone number

Your CELL phone number

Your PERSONAL email address

Your WORK email address

Employer Information

Your employer*

Your work site (building/facility and address)

Your job classification (i.e. Clerk II, LPN I, Home Support Worker, Correctional Officer, Social Worker I, etc.):*

When did you start with this employer?

Your current Job Status*

Permanent, full-time
Permanent, part-time
Temporary, full-time
Temporary, part-time (including call-in)
Seasonal

Consent and Confirmation*

I agree that the information provided is accurate and to the following statement:

"The information provided on this form is accurate and I hereby accept membership in the Newfoundland and Labrador Association of Public and Private Employees (hereafter: NAPE) and hereby authorize NAPE, its agents or representatives to represent me as the exclusive bargaining agent with my employer. I agree to abide by the By-laws and Constitution of NAPE, and I hereby authorize the Employer to release my employment-related information to NAPE."

NAPE Member Card Registration Form

NAPE Membership Card Registration Form

Personal Information

Contact Information

Employer Information

Agreements

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NAPE Member Card Registration Form

NAPE Membership Card Registration Form

Personal Information

Contact Information

Employer Information

What are you looking for?

Agreements

Contact Your ERO

Sign up for E-mail Updates