HASA Enrollment Form
Please complete this form to join the HIllsborough Association of School Administrators. Dues are $5.25 per pay period. Membership begins when payroll deduction is processed through the payroll department.
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Date *
MM
/
DD
/
YYYY
Name *
Home Address
*
City, State, Zip *
Personal Email Address *
Work site *
Position *
Lawson Number *
Pay Code *
By checking below, I I hereby authorize and request the School Board of Hillsborough County (FL) to deduct dues for this professional association. These dues will be deducted from my bi-monthly salary unless I revoke this authorization through writing to the Association and to the School Board. *
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