Membership Qs Page - Pilipino Workers Center of Southern California

Thank you for signing up for your PWC membership!

We request that you send or deliver your payment within 14 days after your membership application submission, for your ID to be processed.

FOR CASH PAYMENTS: Please deliver in-person to our LA office: 153 Glendale Blvd, Fl 1, Los Angeles, CA 90026 or Vista office: 1365 W Vista Way, Ste 100, Vista, CA 92083.

FOR VENMO PAYMENTS: Please send payment to pilworker@pwcsc.org. Include in the note for the payment: "PWC Membership Application for (your name)". Please take a screenshot of the payment confirmation and send to pwcid@pwcsc.org.

FOR CHECK PAYMENTS: Please address payment to "Pilipino Workers Center of Southern California". Memo: "Membership application payment for (your name)".

Mail check payment to: Pilipino Workers Center, 153 Glendale Blvd, Fl 1, Los Angeles, 90026. Please send a screenshot of your mail receipt with a tracking number to pwcid@pwcsc.org.

IDs will be processed and mailed 1 week after receipt of payment.

Thank you! Maraming salamat po!

Dues Selection

Full Name

Phone Number

Preferred Language

Gender Female Male Genderfluid Transgender Non-binary Other

Other / How do you identify?

Birthday

Are you a Registered Voter? Yes No

Are you interested in volunteering?

Yes No

If other, please specify

How did you find out about PWC? Social media PWC Staff Member Community member News / media coverage Outreach

More detail on how you found out about PWC

Occupation Private Home RCFE Direct Hire

Are you a Domestic Worker, Caregiver, or Home Attendant? Yes No

Current Employer (Optional)

Current employer work address (optional) - City, State

Please list out 3 past employers. Include name of employer, and employment address. This is not required for you to fill out, but helpful information for the organizing team if you are comfortable to share.

Name of Past Employer 1 (optional)

Past Employment Address 1 (optional) - City, State

Name of Past Employer 2 (optional)

Past-Employment-Address-2 (optional) - City, State

Name of Past Employer 3 (optional)

Past Employment Address 3 (optional) - City, State

Your Address