Prisoner Membership Form

Due to censorship challenges, we have created a form which allows friends and family members to complete a membership application form on behalf of a prisoner (obviously with their full consent). The prisoner will then be contacted for confirmation (and if further censorship challenges are experienced, we will at least know this is happening and can take action).

Prisoner Name

Prisoner Number

Date of Birth

Address incl. postcode

Will the person need large print materials?
 Yes No

Please let us know any other access requirements

What is their preferred language?

Has the person been a member of a Union before?
 Yes No

If yes, please state any Union Roles if so

Please list any other skills they might be able to offer

We understand not everyone has a release date. If the person has one and would like to be put in contact with their local branch and have preferred contact details post-release please write them below.

Phone Number

Email Address

Location - Nearest Town or City

Date likely to be released

Confirmation

I confirm they are a worker and not an employer, that they wish to join the IWW and that they accept and will study the union's aims and constitution.

 Yes

Your Contact Details

Name

Email Address

Phone Number

How did you hear about the IWW?
 At an event Facebook Search engine Stall at a prison Newsletter Word of mouth