GLO Membership Form

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.

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.