Skip to main content
CCEA Membership Application
Back to Dashboard
We're sorry but our site requires JavaScript enabled in your browser.
2022-23 School Year NOTE: If you do not receive the following message when you submit your form your application has not been submitted. Please contact our membership department with any questions at Betsy.Murphy@Floridaea.org "We've successfully received your information. You will receive an email prior to the first payment being processed."
personal-information-1
First Name
*
Middle Name
Last Name
*
billing-address
Mailing Country
*
United States of America
Mailing Address
*
Mailing Suite
Mailing City
*
Mailing State
*
- Select -
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
US Virgin Island
Washington
West Virginia
Wisconsin
Wyoming
Mailing Zip Code
*
personal-information-2
Date of Birth
Date
E.g., 2023-06-10
Mobile Phone
Preferred Phones
preferred
Personal E-mail
*
Work E-mail
Work Location
custom-field-1
Get Involved In Your Professional Association (check any areas of interest)
Worksite Leadership Team
Membership Development
Government Relations
Issue Advocacy
Bargaining & Negotiations
Community Outreach
District & Union Committees
Professional Development & Training
custom-field-2
RECRUITER: Please list name of recruiter here
payroll-deduction
membership-wrapper
Select your membership category
Select your membership category
Instructional
Non-Instructional
Part-Time
Dues Amount
$0.00
Total
* draft
privacy-policy
legal-wrapper
Authorize
Payroll Deduction Authorization.
Membership Commitment: Yes, I want to join my colleagues by becoming a member of the NEA, AFT, FEA, AFL-CIO, Service Unit and CCEA I hereby request and voluntarily accept membership in the NEA, AFT, FEA, AFL-CIO, Service Unit, and CCEA, and agree to abide by the Constitution and Bylaws of all organizations. Payroll Deduction Authorization. I hereby agree to pay and authorize my employer to deduct, the dues and assessments described on this document, and as are certified annually by the Association each year thereafter, from my salary; and I further direct and authorize my employer to pay such amounts to the Association in accordance with the payroll deduction amounts in effect; provided, however, that I may cancel my membership according to the language stated in the current Collective Bargaining Agreement. I fully understand that the annual dues required for membership in the six organizations are subject to periodic change by the six governing bodies of the organizations. This authorization continues annually regardless of my membership status, unless (a) I revoke this authorization upon 30 days’ notice in writing sent via email, fax or US mail to the employer and employee organization according to Florida Statue 447.303, or (b) my employment with the school district ends. I UNDERSTAND THAT THIS AGREEMENT IS VOLUNTARY AND IS NOT A CONDITION OF EMPLOYMENT, AND THAT I HAVE THE LEGAL RIGHT TO REFUSE TO SIGN THIS AGREEMENT WITHOUT SUFFERING ANY REPRISAL.
Print your name
Date
Date
E.g., 2023-06-10
Signature field is required
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Leave this field blank