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UTSPA Online Registration
U.S. Customs and Border Protection


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Name:   
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Last 
 
Personal Email Address: * Do not enter a government email address (i.e. john.doe@dhs.gov)
Re-type Email Address: *
       
Your Mother's Maiden Name: * Last Name Only
 
Home Address: * No P.O. Box Address
City *  
State: * 
Zip Code: *
 
Mailing Address: *
City *
State: *
Zip Code: *
       
Telephone: Home: * No dashes, parentheses, or spaces    
Telephone: Cell: * No dashes, parentheses, or spaces    
Your Cell Phone Provider: *
 
       
 
Entry on Duty Date (Date You Began Your Employment):
     
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Shift:  

 
   
   Full-Time     Part-Time *

 
Start Time ( First Shift ) : Military Time Only (e.g. 0900) *
End Time ( First Shift ) : Military Time Only (e.g. 1800) *
     
Do you work a split shift? Yes No *
 

Regular Days Off : (check all that apply)*
 

Sunday :
Monday :
Tuesday :
Wednesday :
Thursday :
Friday :
Saturday :



Affiliation(s): *
Yes No   Are you a current member of the American Federation of Government Employees (AFGE)?
 
 
Yes No   Are you a former member of the American Federation of Government Employees (AFGE)?
 
 
Yes No   Are you a current member of the National Treasury Employees Union (NTEU)?
 
 
Yes No   Are you a former member of the National Treasury Employees Union (NTEU)?
 
 
Yes No   Are you a current member of any labor organization/employee association that is not described above?
Yes No   Are you a former member of any labor organization/employee association that is not described above?
 
How did you hear about UTSPA? *
A UTSPA member
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Other
 
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By clicking the Register button below, I represent and warrant that all of the information provided above is true and correct; that I am at least 18 years of age or older; and that I indisputably agree to UTSPA's Terms of Service, Privacy Policy, and California Privacy Rights.

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