Steward Program Application Name* First Last Address* Street Address Address Line 2 City State ZIP Phone*Email* General Committee*Local Division*Are you an union officer?*YesNoPlease provide your title*Are you currently enrolled in Cornerstone products?*YesNoHave you ever filed a claim?*YesNoDo you have any insurance experience?*YesNoExplain your experience*How many union meetings have you attended in the last 12 months?*0123456789101112Please explain why you would like to be a steward*