We’re United for a Voice

For Our Patients, For Our Future

We believe that as employees of Virginia Mason, we deserve to be treated with respect and have a meaningful voice in the future of our hospital. We, the undersigned, are committed to joining together to build an effective union organization for the employees of VM to provide the highest quality care and services for our patients and uphold the dignity of our professions and workplace.

Together as VM employees, we choose to form a union with SEIU Healthcare 1199NW for the purpose of collectively bargaining our wages, benefits, and working conditions.

First Name*
Last Name*
Date*
MM slash DD slash YYYY
Employer*
Email*
Cell Phone*
- Yes! I would like to receive text updates and alerts from SEIU HC 1199NW*
Department*
Job Class
Union Authorization:
Show your support!*
- Yes! I support forming a union with my coworkers. *
Signature*
I support forming a union with my co-workers because:

Your right to sign this card is protected by state and federal law. Submitting this digital authorization card is my commitment to vote SEIU Healthcare 1199NW on Election Day.

We’re United For Power and Respect, For our Future

*By providing my phone number, I understand that SEIU and its locals and affiliates may use automated calling technologies and/or text message me on my cellular phone on a periodic basis. SEIU will never charge for text message alerts. Carrier message and data rates may apply to such alerts. Text STOP to 787753 to stop receiving messages. Text HELP to 787753 for more information.