One-to-One Conversations
Your First Name
Your Last Name
Enter the information for the individual you had a one-to-one conversation with.
First Name:
Last Name:
Employer:
Worksite:
Position:
Cell Phone (if known):
E-Mail (Personal)
E-Mail (Work)
Assessment of Membership (select one):
Member
Plans on Joining
Undecided on Membership
Leader and/or Activist Potential (must be a member)
Anti-Union/Will Not Become Member
Would you describe this person as a natural leader?
Yes
No
Who did this person identify as a natural leader?
What was discussed?
What is your follow-up plan with this person?