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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Email *
Legal Name *
Address *
Phone Number (mobile/home) *
Phone Number (other)
Check what type of paraeducator you are. If not listed please add to other. *
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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