GLO Membership Form

Members are our union! Members run GLO, bargain with Brown and run for our elected leadership positions, and we're independent because our dues alone fund our union. We need everyone united as members to prove to Brown that we're serious about having a say in our wages, working conditions and rights as graduate student-employees. You can fill out this form provided by our parent union, the American Federation of Teachers, to stand with your colleagues and become a member of GLO:

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First Name *

Middle Name

Last Name *

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Mailing Country *

Mailing Address *

Mailing Suite

Mailing City *

Mailing State *

Mailing Zip Code *

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Mobile Phone

Preferred Phones

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Personal E-mail *

Work E-mail

Work Location

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Department

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Office or Room

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Summer 2022 Appointment

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Fall 2022 Appointment

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Start Year

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Estimated Graduation Year *

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PhD or Masters

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Select your membership category

COPE Amount

Other Amount

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Authorize

I hereby authorize the Graduate Labor Organization (GLO), Rhode Island Federation of Teachers and Health Professionals (RIFTHP), American Federation of Teachers (AFT), AFL-CIO, to act as my exclusive bargaining representative for all purposes of collective bargaining with Brown University.

I hereby apply for membership in the Graduate Labor Organization (GLO), Rhode Island Federation of Teachers and Health Professionals (RIFTHP), American Federation of Teachers (AFT), AFL-CIO (collectively “the Union”). I authorize my employer, Brown University, to deduct from my salary or wages an amount certified by the union as my regular current dues and to remit such amount monthly to the Union. I understand that no dues will be deducted until Union members ratify a first contract for graduate employees. This voluntary authorization and assignment shall be irrevocable for a period of one year from the date of authorization, and shall automatically renew from year to year unless I revoke his authorization by sending written notice by the United States Postal Service to my Union. Dues paid to GLO may not be deductible for Federal Income Tax purposes, however, under limited circumstances, dues may qualify as a business expense.

Authorize COPE

I hereby authorize my employer to deduct monthly the amount indicated below and to remit the amount to the GLO COPE Fund.

This COPE authorization is voluntarily made based on my specific understanding that: 1) I am a U.S. citizen and/or legal permanent resident of the United States, 2) that this money will be used to make political contributions by GLO, including but not limited to addressing political issues of public importance and contributing to and spending money in connection with federal, state and local elections, and 3) that the signing of this authorization card is not a condition of union membership or employment with any employer and that I have a right to refuse to sign this authorization and refuse to contribute to GLO COPE without reprisal. I agree this authorization remains in effect until terminated in writing by me. Decisions on use of COPE contributions will be made by GLO members according to GLO by-laws.

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