Nursing Home Member Updates - SEIU2015

Want updates on your Nursing Home or Private Facility? Use the form below and we will notify you of meetings affecting your workplace!

"*" indicates required fields

First Name*

Last Name*

Mobile Phone*

*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.

Email*

Home Street Address*

City*

Zip Code*

Your Preferred Language*

In what region is your facility?*

Region 1: Los Angeles County
Region 2: Orange, Riverside, San Bernardino, San Diego, Santa Barbara & Ventura Counties
Region 3: Fresno, Inyo, Kern, Kings, Monterey, San Benito & Santa Cruz Counties
Region 4: Amador, Calaveras, Lake, Madera, Merced, Sacramento, San Joaquin, Solano, Stanislaus, Tuolumne, Yolo & Yuba Counties
Region 5: Alameda, Contra Costa, Marin, Napa, San Francisco, San Mateo, Santa Clara & Sonoma Counties
Region 6: Butte, Colusa, Del Norte, El Dorado, Glenn, Humboldt, Lassen, Mendocino, Modoc, Nevada, Placer, Shasta, Siskiyou, Sutter, Tehama & Trinity Counties

Please select your Region 1 facility below*

Please select your Region 2 facility below*

Please select your Region 3 facility below*

Please select your Region 4 facility below*

Please select your Region 5 facility below*

Please select your Region 6 facility below*

Name

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