Full Time Electronic Membership Form

AAUP-BHSNJ VOTING MEMBER APPLICATION

Voting Members participate in union elections and contract ratification. Most importantly, it shows we have your support in building a better RBHS.

Payroll Deduction Authorization

PLEASE PRINT CLEARLY (fill in all information):

    Name*

    First Name

    Middle Name

    last Name
    Rank*
    School*

    School

    Department
    Cell Phone*

    Area Code

    Phone Number
    Email Address*

    Work Email

    Personal Email

    I hereby authorize my AAUP Chapter to deduct from my paycheck Thirty-Three Dollars ($33.00) per pay period for voting member dues.
    Form filling date*
    Signature*
    Required fields *