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Socorro AFT Membership Application 2020-2021
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personal-information-1
First Name
*
Middle Name
Last Name
*
billing-address
Billing Country
*
United States of America
Billing Address
*
Billing Suite
Billing City
*
Billing 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
Billing Zip Code
*
also mailing address
Mailing Country
*
United States of America
Mailing Address
Mailing Suite
Mailing City
Mailing State
mailing state
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., 2024-04-19
Home Phone
Mobile Phone
Work Phone
Preferred Phones
preferred
preferred
preferred
Personal E-mail
*
Work E-mail
Employer
Worksite Location
custom-field-1
Position
custom-field-2
Department
custom-field-3
Employee ID
membership-payment
membership-wrapper
Select your membership category
Select your membership category
Paraprofessionals (under $16K per year) - $17.00/m
Transportation/Monitors (under 16K per year) - 20
New Teachers - $46.17/mo, 12 cks
Professionals - $54.50/mo, 12 cks
Paraprofessionals (16K - 30K per year) - $29.50/mo
Transportation/Monitors - $17.70/mo, 20 cks
Professionals - $54.50/mo, 24 cks
$65.40/mo, 20 cks (earning over $30K)
Dues Amount
$0.00
Total
* draft
COPE Amount
By donating to COPE, we’re able to fight for your pension, good legislation, and elected officials who support you and your professions. Donating to COPE is the most effective way for your voice to be heard.
COPE Amount Values
$0
$1
$2
$5
other
Other Amount
Payment Methods
bank draft
account type
Bank Account Types
checking
saving
Bank Name
Routing Number
Account Number
privacy-policy
custom-legal-wrapper
Authorize 1
ELECTRONIC DUES PAYMENT
I authorize Socorro AFT to draft my bank account for the amount and dates listed on this application. The monthly dues amount may change if required by local, state or national constitutions. I authorize my bank to adjust my monthly payment when notified by the Socorro AFT. This authorization remains in effect until terminated in writing by me. These deductions will continue for this school year and future years, including any increases in dues, until terminated by me in writing. I understand that it is MY responsibility to monitor the correctness of my deductions within 60 days and that no dues refund will be made after that. It is also my duty to inform Socorro AFT in writing of my retirement or resignation from SISD within 30 days. No dues refund after the 30 days.
Authorize 2
JOIN OUR COMMITTEE ON POLITICAL EDUCATION (COPE)
Socorro AFT encourages all of its members to participate in local campaigns and to support and endorse candidates who will be sympathetic to our issues. It is the function of the Socorro AFT’s Committee on Political Education (C.O.P.E) to research issues and candidates, report to the membership, recommend endorsements, and support endorsed candidates with money and volunteers. Making a contribution is not a condition of membership and members have a right to refuse to contribute without suffering any reprisal or loss of membership status, rights or benefits. My signature above authorizes Socorro AFT to deduct the amount noted as a voluntary contribution to the Socorro AFT C.O.P.E. I understand that this authorization will remain valid as long as I am a member of Socorro AFT and employed be Socorro ISD unless revoked in writing.
Print your name
Date
Date
E.g., 2024-04-19
CAPTCHA
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Math question
*
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