Skip to main content
GLO Fair Share Fee Authorization
Back to Dashboard
We're sorry but our site requires JavaScript enabled in your browser.
personal-information-1
First Name
*
Middle Name
Last Name
*
billing-address
Mailing Country
*
United States of America
Mailing Address
*
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
Mobile Phone
Preferred Phones
preferred
Personal E-mail
*
Work Location
payroll-deduction
membership-wrapper
Select your membership category
Select your membership category
Fair Share Fee Authorization
privacy-policy
custom-legal-wrapper
Authorize 1
GLO Fair Share Fee Authorization
I hereby request and voluntarily authorize Brown University or its successors to deduct from my earnings and to pay over to the union or its successors my fair share fee. I understand that the amount of the fair share fee shall be determined by the union in accordance with applicable law. This authorization applies only while I am employed as a graduate student employee. Pursuant to the terms of Article IV of the collective bargaining agreement between the Brown University and the union, this authorization shall remain in effect unless I revoke it by notifying the university or university-designated office in writing. My signature below is provided voluntarily and I hereby acknowledge that I have been provided with notification of my rights prior to affixing my signature below.
Print your name
Date
Date
E.g., 2025-06-09
Signature field is required
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Math question
*
3 + 5 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Leave this field blank