Skip to main content
3821 MEA Online Membership Form
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
Washington
West Virginia
Wisconsin
Wyoming
Mailing Zip Code
*
personal-information-2
Personal E-mail
*
custom-field-1
Title
*
Title
Ms
Mrs
Mr
Dr
custom-field-2
Home Phone
custom-field-3
Mobile Phone
*
custom-field-4
Plan of Payment
*
Cash
Payroll Deduction
custom-field-5
Employee ID
*
custom-field-6
Nickname or Preferred Name
custom-field-7
Position, Subject, and Grade Level
custom-field-8
School Name
*
School Name
0031 ANNA MARIA ELEM
0051 BALLARD ELEM
0061 BAYSHORE ELEM
0072 BAYSHORE HIGH
0151 MANATEE ELEM
0181 MANATEE HIGH
0211 MANATEE TECHNICAL COLLEGE
0221 MILLER ELEM
0231 MYAKKA CITY
0261 ONECO ELEM
0281 PALM VIEW K-8
0291 PALMA SOLA ELEM
0301 PALMETTO ELEM
0351 PALMETTO HIGH
0381 PRINE ELEM
0411 DAUGHTREY ELEM
0421 SAMOSET ELEM
0431 SOUTHEAST HIGH
0491 LINCOLN MIDDLE
0521 TILLMAN ELEM
0541 BLACKBURN ELEM
0571 WAKELAND ELEM
0581 SUGG MIDDLE
0601 MOODY ELEM
0611 KING MIDDLE
0621 ABEL ELEM
0631 STEWART ELEM
0641 BASHAW ELEM
0651 BRADEN RIVER ELEM
0652 BRADEN RIVER MIDDLE
0671 SEA BREEZE ELEM
0681 TARA ELEM
0691 JOHNSON K-8
0701 WITT ELEM
0711 HAILE MIDDLE
0721 LAKEWOOD RANCH HIGH
0731 HORIZONS ACADEMY
0741 KINNAN ELEM
0752 NOLAN MIDDLE
0761 LEE MIDDLE
0762 BRADEN RIVER HIGH
0771 MCNEAL ELEM
0781 FREEDOM ELEM
0791 MILLS ELEM
0801 WILLIS ELEMENTARY
0811 WILLIAMS ELEMENTARY
0821 GULLETT ELEMENTARY
0831 ROGERS GARDEN ELEMENTARY
0842 BUFFALO CREEK MIDDLE
0852 PARRISH COMMUNITY HIGH
0853 JAIN MIDDLE
0857 HARVEY ELEMENTARY
2051 JDC
2052 ARC (Also 20111 Manasota ARC)
2054 Manatee Glens
2060 MATS/PAL
3110 Curriculum
3130 ESE
3140 Tillman Full Service/Migrant Program
3160 ITS (Freedom)
custom-field-9
Recruiter
payroll-deduction
membership-wrapper
Select your membership category
Select your membership category
Teachers
Teacher Assistants
Aides
Dues Amount
$0.00
Total
* draft
privacy-policy
legal-wrapper
Authorize
I hereby authorize the District School Board, Manatee County, according to arrangements agreed upon with the Manatee Education Association, to deduct from my salary and transmit to said unit such dues and assessments as are annually certified by said unit.
I hereby waive all rights and claims to said monies so deducted and transmitted in accordance with this authorization and relieve the School Board and all its officers from any liability therefore. This authorization shall remain in full force and effect for all purposes while I am employed by this district, or until revoked by me in writing upon thirty (30) days written notice to the School Board and said unit. I understand that all such dues and assessments are strictly voluntary. Contributions or gifts to the MEA are not deductible as charitable contributions for federal Income tax purposes; however, under limited circumstances, dues may qualify as business expense.
Print your name
Date
Date
E.g., 2021-01-24
Signature field is required
Leave this field blank