The form consists of 3 sections - each section will take only a few moments to complete.
TO CANCEL APPLICATION AND RETURN TO UNITY WEBSITE - CLICK HERE.
Section 01 : Personal Details
Forename:
Contact Telephone:
Surname:
Contact Email:
Initials:
Sector of Employment:
Retail
Construction
Agriculture
Clerical
Catering
Manufacturing
Miscellaneous
Title:
Mr
Mrs
Miss
Ms
Dr
Professor
Capt
Rev
Sister
Other
If Miscellaneous, please state:
If Other, please state:
Gender:
Male
Female
Status of Employment:
Employed
Unemployed
Self-employed
Retired
Student
Home Address:
Occupation:
Do you wish to be included on our mailing list ?
Yes
No
Home Postcode:
Click to Proceed to Section 02
Section 02 : Employment Details
Thank you for taking the time to join online.
By completing this membership form, you will automatically qualify for our new deal - get three months
membership for absolutely nothing*. You will have full membership rights and you will be building up
qualifying service for future benefits etc.
We will automatically send you a cheque equivalent to 3 months contributions after the fourth collection
of your Direct Debit payment*.
*Please note - This offer is currently available only to new members paying by Direct Debit.
Employer Name and Work Address:
Work Postcode:
Click to Proceed to Section 03
Section 03 : Equal Opportunities
Unity has a strong commitment to equal opportunities. To help us monitor our work, please answer the
following questions.
This section is optional - if you do not wish to complete this section, press the 'Submit Application'
button below.
Date Of Birth (DD-MM-YYYY):
Do you consider yourself to be a person with a disability ?
Yes
No
Which broad ethnic group do you belong to..?
White English
White Scottish
White Welsh
White Irish
Other White
Mixed White/Black Carribean
Mixed White/Black African
Mixed White/Asian
Other Mixed
Indian
Pakistani
Bangladeshi
Other Asian
Black Carribean
Black African
Other Black
Chinese
Other Ethnic
Unknown
National Insurance Number:
Have you been in another Trade Union in the last 2 years ?
Yes
No
Confirmation : I confirm that I wish to join Unity
Yes
You will be sent a Membership form and Direct Debit Instruction in the post.