PAAC - Supporting Our Communities Nomination

Political Action & Awareness Committee - Supporting our communities business nomination

With the COVID-19 reality, the PAAC wants to show support for local businesses in your community.
We appreciate that everyone is facing challenges right now and we believe that others will recognize the struggles of health care workers and show their support, if we do the same.
We are asking you to nominate your favourite local business, with a description of why they are wonderful, and a picture of their business (if possible).
We will connect with them so that we can let them know why you love them and we will share this info so others (family, neighbours, friends and co-workers) get to hear the all about them.
We will offer them a purple sticker (SEIU-West supports this local business) for their door and give them a big shout out.

1. Your First and Last Name: *This question is required.

2. Your email: *This question is required. This question requires a valid email address.

3. Your phone number: *This question is required.

4. Your home address: *This question is required.

5. What Unit/Facility do you work at? *This question is required.

6. The name of the business you would like to nominate? *This question is required.

7. Business phone number?

8. Contact person at the business?

9. Why they are your favourite local business ? Provide a picture if possible and let them know it could be posted to our Facebook page (www.fb.com/seiuwest). *This question is required.

10. Upload a picture of yourself for your profile

Allowed types: png, gif, jpg, jpeg, doc, xls, docx, xlsx, pdf, txt, mov, mp3, mp4
Max file size: 2000 MB

File: {{filename}} delete

11. I herby authorize SEIU-West to share this information as part of their overall communication strategy and to take and use my photograph/video footage. I know that this information will be used on multi-media platform, including but not limited to social media, blogs, website stories, postcards, etc… *This question is required.