Anoka Hennepin Independent School District 11 Payroll Dues Deduction Authorization
I want to be an active member of the Anoka-Hennepin Paraeducator Association that represents me and hereby authorize Anoka-Hennepin District 11 to deduct dues from my wages. I understand that revocation of this authorization and withdrawal from prior membership requires a 90 day notice. Revocation must be in writing and delivered to an AHPA Officer to be effective.
Dues are .75% of your pay. (75 cents for every $100). AHPA is an independent, non-partisan labor union. All of our dues go directly to running the Association and representing our members.
Please provide your district email and a personal email. AHPA will be creating a contact list of personal email and phone numbers for members for when we don't want to use district email.
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Valid Personal Email Address
Please provide a non district email that the AHPA can use to contact you.
Phone Number (mobile/home)
Phone Number (other)
Check what type of paraeducator you are. If not listed please add to other.
Special Ed Para
School or Program
Please check the cluster your school or program is in.
If you are not sure click here,
Employee # (If you don't know, we can find it)
I agree to have the para dues deducted from each paycheck. By checking yes, I authorize the dues to be deducted from each paycheck.
Typing your name below will be your signature to this authorization.
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Anoka-Hennepin School District.