The Honorable David Michaels_ PhD_ MPH by dandanhuanghuang

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									                                                United Support & Memorial For Workplace Fatalities

                                                2837 Yellowstone PKWY Lexington, KY 40517
                                                Phone: ( 859) 266-5646 Fax ( 859) 266-5646   Email: tammy@usmwf.org

                                                Because going to work shouldn’t be a grave mistake!



Please help us plan for Worker Memorial Day 2010 (WMD) in Washington, DC. The information you provide is for preliminary planning purposes only.
After reviewing the USMWF budget, the information you provide will help us determine the amount of a travel subsidy we will be able offer to you to
help you cover your travel expenses.

Your name:                                 Full Name of your lost loved one:                                           Month/Year of Loss:

Do we have your loved one's photo as part of our FACES campaign?                YES      NO

Your address:
Your email address:
Your Phone:

Names of other individual(s) who are planning to accompany you on the trip:

Please mark the yellow shaded box for each event

                                                                                                                      Will your schedule allow you to be
                                                                                                                            in town for this event?
    Day/Date                                             Description of Event                                                        Only if      Add a
     Time                                                                                                             Yes    No       travel    comment
                                                                                                                                   stipend is
                                                                                                                                   provided
Tuesday, April 27     [Tentative/not confirmed] Congressional Hearing on worker health and safety,
10:00 am              U.S. Senate Health, Education, Labor and Pensions (HELP) Committee or Subcommittee on
                      Employment and Workplace Safety
Tuesday, April 27     Private meeting with Labor Secretary Hilda Solis, DOL Headquarters (pre-meeting preparation
1:00 pm -1:30 pm      by USMWF attendees required)
Tuesday, April 27     Gathering with officials from OSHA/MSHA/Solicitor of Labor (agenda not set; pre-meeting
1:30 pm - 2:30 pm     preparation by USMWF attendees required)
Tuesday, April 27     [Tentative/not confirmed] Tour of U.S. Capitol
3:00 pm - 5:00 pm
Tuesday, April 27     Dinner at the home of Celeste Monforton & Jim Steenhagen
6:00 pm - 9:00 pm
(Over, please)


                                                                                                                     Will your schedule allow you to be
                                                                                                                     in town for this event?
     Day/Date                                            Description of Event                                                       Only if      Add a
      Time                                                                                                           Yes    No       travel    comment
                                                                                                                                  stipend is
                                                                                                                                  provided
Wed, April 28        Gathering on the steps of the Frances Perkins' Building (US Dept of Labor Headquarters).
7:30 am - 8:30 am

Wed, April 28        [Tentative/not confirmed] Congressional Hearing on worker health and safety,
9:30 am - 11:30 am   U.S. House of Representatives, Committee on Education and Labor

Wed, April 28        National Labor College, Symposium on the Protecting America's Workers Act (H.R. 2067/
12:45 pm - 2:15 pm   S.1580) [10000 New Hampshire Avenue, Silver Spring, Maryland]

Wed, April 28        National Labor College, Ceremony at the National Workers' Memorial [10000 New Hampshire
2:30 pm - 3:30       Avenue, Silver Spring, Maryland]


Thurs, April 29      Sightseeing in the National's Capital (Lincoln Memorial, Jefferson Memorial, Washington
8:00 am - 3:00 pm    Monument, Vietnam Veteran's Memorial, Smithsonian Museums, etc.)
Thurs, April 29      Travel by AMTRAK train to Philadelphia, Pennsylvania
4:00 pm - 6:00 pm

Friday, April 30     The largest Workers Memorial Day event in the U.S., sponsored by PhilaPOSH and Philadelphia
8:00 am - Noon       County Central Labor Council, AFL-CIO. Begins with breakfast at the Sheet Metal Workers
                     Hall, procession through the streets of Philadelphia to Penn's Landing, with memorial remarks
                     by family members from the Tri-State area, and casting of flowers into the Delaware River.




After you've completed this form, save it using your last name, and email it to celeste.monforton@gwumc.edu

THANKS!




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