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04574 OCFCE Online Membership Form-02
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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
Date of Birth
Date
E.g., 2024-04-27
Home Phone
Mobile Phone
Preferred Phones
preferred
preferred
Personal E-mail
*
Work E-mail
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Employee ID Number
*
custom-field-2
Worksite:
*
Worksite:
Adams ES
Arthur ES
Bodine ES
Britton ES
Buchanan ES
Capitol Hill MS
Capitol Hill HS
Cesar Chavez ES
Clara Luper Center for Educational Services
Classen SAS HS
Classen SAS MS
Cleveland ES
Coolidge ES
Douglass HS
Emerson North HS
Emerson South Mid-High
Esperanza ES
Eugene Field ES
Extended Educational Services
FD Moon MS
Fillmore ES
Gatewood Early Learning Center
Hawthorne ES
Hayes ES
Heronville ES
Hillcrest ES
Horace Mann (Pre-K Center)
Jefferson MS
John Marshall Enterprise HS
John Marshall Enterprise MS
Johnson (Pre-K Center)
Kasier ES
Mark Twain ES
Martin Luther King Jr ES
Mary Golda Ross MS
Monroe ES
Nichols Hills ES
Northwest Classen HS
Prairie Queen ES
Putnam Heights Academy
Operations - Transportation
Operations - Garage
Operations - Grounds
Operations - HVAC
Operations - Traveling Kitchen Assistants
Operations - Warehouse
Quail Creek ES
Ridgeview ES
Rockwood ES
Rogers MS
Roosevelt MS
Shidler ES
Southeast HS
Southeast MS
Southern Hills ES
Spencer ES
Star Spencer Mid-High
Taft MS
Taft (5th Year Center)
Thelma Parks ES
US Grant HS
Van Buren ES
Webster MS
Wheeler MS
Willow Brook ES
Wilson ES
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Seniority Date:
*
Date
E.g., 2024-04-27
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employment classification
*
employment classification
a) support Staff
b) support Staff | Pro-Tech
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job title
*
custom-field-6
recruiters name
*
payroll-deduction
membership-wrapper
Select your membership category
Select your membership category
Membership
Dues Amount
$0.00
Total
* draft
privacy-policy
legal-wrapper
Authorize
TO: PAYROLL DEPARTMENT OKLAHOMA CITY PUBLIC SCHOOLS
I hereby authorize the Oklahoma City Board of Education to deduct from each warrant an amount equal to my annual OCFCE dues as certified by the OCFCE. I further authorize this deduction to be continuous unless I request cancellation. I further authorize the Board of Education to change the amount of my deduction in compliance with any change in dues voted by the membership and certified by the OCFCE. I further authorize the deduction to be forwarded monthly to the OCFCE and understand that the OCFCE is completely responsible to me for the disposition of the funds. I understand that OCFCE services, including professional liability and legal defense, are contingent upon paid OCFCE membership.
Print your name
Date
Date
E.g., 2024-04-27
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Math question
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