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What is your (or your family member) union affiliation?*
Local Union Number? (You may enter Not Sure or No Local)*
What is your union status or relationship to the union member?*
First Name of Union Member*
Last Name of Union Member*
Union member email*
Union member address*
Street Address City ZIP / Postal Code
Union Member State/Region*
Which online degree program are you interested in?*
Where is/was the union member employed?
By clicking submit, I agree that Eastern Gateway Community College and its affiliates may email me or contact me regarding educational services by telephone and/or text message utilizing automated technology at the telephone number(s) provided above. I understand this consent is not required to attend EGCC.
Phone
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