NORTH ALLEGHENY FEDERATION OF TEACHERS, AFT #02097 MEMBERSHIP APPLICATION

I hereby request and accept membership in the North Allegheny Federation of Teachers, and do hereby authorize it, its agents or representatives, to act for me as collective bargaining agency in all matters pertaining to rates of pay, wages, hours or employment, and other conditions of employment, and to enter into contract with my employer covering all such matters. Dues paid to the North Allegheny Federation of Teachers may not be deductible for federal income tax purposes; however, under limited circumstances, dues may qualify as a business expense.

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NORTH ALLEGHENY FEDERATION OF TEACHERS, AFT #02097 Authorization for Membership Dues Deduction

I hereby request and voluntarily authorize my employer to deduct from my earnings and to pay over to NAFT an amount equal to the regular annual dues uniformly applicable to members of my union. This authorization shall remain in effect and shall be irrevocable unless I revoke it by sending written notice in the form of certified letters to both the Business Manager of the North Allegheny School District and to the North Allegheny Federation of Teachers during the period not less than thirty (30) days prior and not more than forty-five (45) days before the annual anniversary date of this agreement. This authorization shall be automatically renewed as an irrevocable check-off from year to year unless I revoke it during the window period, even if I have resigned my union membership.

Today's Date: *

(I understand that entering the date, my first name, and my last name constitutes a legal signature confirming that I acknowledge and agree to the above Terms.)

First Name: *

(I understand that entering the date, my first name, and my last name constitutes a legal signature confirming that I acknowledge and agree to the above Terms.)

Last Name: *

(I understand that entering the date, my first name, and my last name constitutes a legal signature confirming that I acknowledge and agree to the above Terms.)

NASD Employee Number *

Email Address: *

Do not use your North Allegheny Email. Please provide an email you would like the NAFT to use to contact you.

Home Address: *

City: *

State: *

Zip: *

Home Phone: *

Mobile Phone: *

By providing a mobile number, I authorize the Federation and its affiliated to contact me via text messaging services.

Bargaining Unit *

Professional

Paraprofessional

Buildings (Abbreviations) *

Check One: *

Full Time

Part Time

Obligatorisk

Teacher's Only - Check One:

Permanent Contract

Long-Term Substitute Contract

Is this a new application or an update to information *

New

Update

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Formuläret skapades på North Allegheny School District.