UNIVERSITY OF CALIFORNIA, SANTA BARBARA BERKELEY • DAVIS • IRVINE • LOS ANGELES • RIVERSIDE • SAN DIEGO • SAN FRANCISCO HUMAN RESOURCES SANTA BARBARA • SANTA CRUZ SANTA BARBARA, CALIFORNIA 93106-3050 UAW LOCAL 2865 MEMBERSHIP ELECTION FORM INSTRUCTIONS FOR SUBMISSION Dear Academic Student Employee: Attached is a union Membership Election Form for the United Automobile Workers (UAW) that allows you to join the Union if you choose to do so. If you elect to become a member, please complete the form and forward the completed form to the following address via campus mail: Employee and Labor Relations UCSB Human Resources Department 3101 SAASB Bldg. Campus mail code 3160 A pre-addressed envelope is attached for your convenience. If you have questions about the form, please feel free to contact the UCSB Employee and Labor Relations Office at 893-4119, or the UAW Local 2865 office at 685-3886. Thank you. Leslie Sanchez Manager Employee and Labor Relations Attachment: UAW Local 2865 Membership Election Form Rev 6/05 Rev 6/05