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Boise State University Federation of Teachers Membership

I wish to apply for membership to the BSU Federation of Teachers (AFT Local #3537) and its state and national affiliates. Membership in the Federation includes a $1,000,000 liability policy, access to legal and moral support, and many other AFT benefits described on the AFT national website, www.aft.org.

Name *

First

Last

Personal Email (the BSU-FT local cannot use campus email) *

Email

Confirm Email

Department or Unit *

Position at Boise State

Classified Staff
Professional Staff
Faculty

Office phone

Home phone

Home street address line 1 *

Street address line 2

City *

State *

ZIP / Postal Code *

Country

Please select the suggested biweekly dues based on income: *

$0-20,000: $8 per pay period
$20,000-40,000: $11 per pay period
$40,000-60,000: $15 per pay period
$60,000-100,000: $18 per pay period
$100,000+: $20 per pay period
Sustaining Membership: $25 per pay period

AUTHORIZATION FOR PAYROLL DEDUCTION *

I HEREBY AUTHORIZE the BSU Payroll office to deduct the following amount per pay period for membership in the BSU Federation of Teachers.

(This authorization will remain in effect until a written request to stop automatic payroll deduction.)

Name *

First

Last

Department or Unit *

Signature *

Check to sign

By checking this box I signify my signature.

Date *

BSU employee ID number *

Thank you for joining the Boise State University Federation of Teachers. Together, we will work to defend and enhance the rights and working conditions of all employees of Boise State University.

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