GAGE Membership Application / Check-Off Authorization

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First Name *

Middle Name

Last Name *

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Mailing Country *

Mailing Address *

Mailing Suite

Mailing City *

Mailing State *

Mailing Zip Code *

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Mobile Phone

Preferred Phones

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Personal E-mail *

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Your Georgetown University Net ID (letters and numbers from your GU email, like "abc123") *

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Degree Program *

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Job Title *

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Estimated Graduation Year

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I'd like to get involved! I will

Talk About GAGE to Colleagues

Join a Committee

Host a "Know Your Contract" meeting in your department or other setting

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Telephone Consumer Protection Act Statement: By providing my cell phone number, I understand that the Union may use automated calling technologies and/or text message me on my cell phone on a periodic basis, and that I can unsubscribe from these messages. The Union will never charge for text message alerts; carrier message and data rates may apply to such texts.

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Select your membership category

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Authorize 1

Membership Application

I hereby apply for membership in Georgetown Alliance of Graduate Employees - American Federation of Teachers (GAGE, “the Union”) and agree to abide by its Constitution and Bylaws. I authorize the Union to act as my exclusive representative in collective bargaining over wages, hours, and other terms and conditions of employment with Georgetown University (GU, “the Employer”). My membership in the Union shall be continuous unless I send written notice to the GAGE President that I intend to resign.

Authorize 2

Check-Off Authorization

I hereby request and voluntarily authorize my Employer, and my Employer’s successors, to deduct from my earnings and to pay over to the Union, and its successors, my membership dues or agency fee. This authorization is applicable only when I am employed in a position in the bargaining unit defined in Section 2 of the April 2, 2018 Agreement between the Union and the Employer. This authorization shall remain in effect and shall be irrevocable unless I revoke it by notifying the Union and the Employer’s Office of Student Employment in writing. This authorization shall be automatically renewed as an irrevocable check-off when I am employed in a position in the bargaining unit unless I revoke it, regardless of my membership in the Union. IRS Disclaimer: Payments to the Union are not deductible as charitable donations for federal income tax purposes. However, they may be tax deductible as ordinary and necessary business expenses.

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