UAW LUCA Please fill out the form below (*required fields): Primary communicator's first name:* Primary communicator's last name:* Primary communicator's e-mail* Primary communicator's position:* Name of publication:* Local website URL:* Your local number*Your Region:*—Please choose an option—Region 1Region 1ARegion 1CRegion 1DRegion 2BRegion 4Region 6Region 8Region 9Region 9A Local president's first name:* Local president's last name:* Local president's e-mail*: Local's phone number*: Local union address*: Address 1*: Address 2: City*: State*: —Please choose an option—AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaVirgin IslandsWashingtonWest VirginiaWisconsinWyoming Zip Code*: Country*: —Please choose an option—United StatesCanada Other designated communicators: 1) First name:last name:position:e-mail: 2) First name:last name:position:e-mail: 3) First name:last name:position:e-mail: As communicators named in this application, we hereby apply for our local's membership, or membership renewal, in the UAW Local Union Communication Association. We pledge to dedicate our communications to uphold the constitution of the UAW, adhere to the code of ethics of our local union, and adhere to the code of ethics and bylaws of UAW LUCA. I have the approval of my appropriate local leadership to apply for LUCA membership for my local. I understand that my local's LUCA membership will not be active and valid until my local president has approved it. I understand that my local president will be contacted to verify this application. * *required fields