Denver Newspaper Guild Membership Application
	First Name:
	Last Name:
	Date of Birth:
	Home Address:
	City:
	Zip Code:
	Home Phone:
	Email:
	Employed By:
	Date of Hire:
	Job Title:
	Social Security Number (last 4 digits):
	I am Employed:	Part Time	Full Time
I designate The Newspaper Guild and its Local my agent in collective bargaining and authorize The Newspaper Guild and its Local to represent me before any Board, Court, Committee or other Tribunal in any matter involving collective bargaining, and I authorize The Newspaper Guild and its Local to represent me in adjusting any grievances I may have in connection with my employment. I pledge myself to abide by the constitution of The Newspaper Guild and the Bylaws of the Local.