PMAH Clinicians – Pennsylvania Association of Staff Nurses and Allied Professionals

I choose to join with my co-workers at Penn Medicine at Home United/PASNAP (Pennsylvania Association of Staff Nurses and Allied Professionals) for the purpose of negotiating improvements in staffing, wages, benefits and working conditions.

Date*

Name*

First Last

Cell Phone*

Home Phone

Email*

Address*

Street Address City State ZIP Code

Team / Department*

Discipline*

Full Time / Part Time / PRN*

Your right to sign this card is strictly protected by state and federal law.