I hereby authorize PSU to release information to GEU, including my legal name, student ID number, current home and campus office addresses, phone numbers, University and alternate email addresses, GTA/GRA/GAA and bargaining unit status, job title, employing unit, FTE, appointment length, appointment start and end dates, hourly pay rate, salary, tuition and fees paid by the GA, tuition, fees, and health insurance costs paid by the University and through external funding, respectively, health insurance waiver status, and international student status, for GEU to use in representational duties. This information authorization shall remain in effect as long as I am affiliated with PSU. I also hereby authorize PSU to deduct from my monthly paycheck the appropriate dues for GEU, and to remit that amount to GEU as directed by GEU. This deduction authorization shall remain in effect during current and future employment as a graduate employee at PSU, regardless of any changes or re-designation of my bargaining unit status, while I remain a GEU member. I can revoke either authorization by giving thirty (30) days’ written notice to PSU and GEU.