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Teachers Association of Lee County Affiliated with Florida Education Association 6830 International Center Blvd. Fort Myers, FL 33912 239-275-8252 (office) 239-275-7829 (fax)
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First Name
*
Middle Name
Last Name
*
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Mailing Country
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United States of America
Mailing Address
*
Mailing Suite
Mailing City
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Mailing State
*
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Mailing Zip Code
*
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Date of Birth
Date
E.g., 2023-03-29
Home Phone
Mobile Phone
Preferred Phones
preferred
preferred
Personal E-mail
*
Work E-mail
Work Location
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Last four of your S.S.
*
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Employee Identification
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Work Location
Work Location
Academic Services
Adult & Career Education
Allen Park Elementary
Bayshore Elementary
Bonita Springs Elementary
Bonita Springs High
Bonita Springs Md CntrForArts
Buckingham Exc Student Ctr
Caloosa Elementary
Caloosa Middle
Cape Coral High
Cape Coral Technical College
Cape Elementary
Career & Technical Education
Challenger Middle
Colonial Elementary
County Wide Exc Child Prog
Curriculum & Inst Innov - Elem
Curriculum & Inst Innov - Sec
Cypress Lake High
Cypress Lake Middle
Department of ESOL
Diplomat Elementary
Diplomat Middle
Dr Carrie D Robinson Littleton
Dunbar Community
Dunbar High
Early Childhood Learning Serv
East Lee County High
Edgewood Academy
Edison ParkCreative&ExpressArt
Estero High
Financial Acct Property Rec
Food Services
Fort Myers Beach Elementary
Fort Myers High
Fort Myers Middle Academy
Fort Myers Technical College
Franklin Park Elementary
G Weaver Hipps Elementary
Gateway Elementary
Gateway High
Gulf Elementary
Gulf Middle
Hancock Creek Elementary
Harns Marsh Elementary
Harns Marsh Middle
Health Services
Hector A Cafferata Jr Elem
Heights Elementary
High School Development
Ida S Baker High
Island Coast High
J Colin English Elementary
James Stephen Intl. Academy
LAMP
Lee Cnty FLVirtualSchFranchise
Lee Cnty Virtual Instruct Prog
Lee County Jail
Lehigh Acres Middle
Lehigh Elementary
Lehigh Senior High
Lexington Middle
Manatee Elementary
Mariner High
Mariner Middle
Migrant Education
Mirror Lakes Elementary
N Fort Myers Acad for the Arts
North Fort Myers High
Oak Hammock Middle
Orange River Elementary
Orangewood Elementary
Patriot Elementary
Paul Laurence Dunbar Middle
Pelican Elementary
Pine Island Elementary
Pinewoods Elementary
Positive Prevention
Professional Development
Psychological Services
Ray V Pottorf Elementary
Rayma C Page Elementary
Recruitment
River Hall Elementary
Riverdale High
Royal Palm Exc Ctr
San Carlos Park Elementary
SchoolCounseling/MentalHealth
Skyline Elementary
South Fort Myers High
Spring Creek Elementary
Student Enrollment
Student Welfare Attendance
Success Academy
Sunshine Elementary
Superintendent's Office
SW FL Juvenile Detention Ctr
SW FL Public Service Academy
Tanglewood Elementary
The Alva School
The Sanibel School
Three Oaks Elementary
Three Oaks Middle
Tice Elementary
Tortuga Preserve Elementary
Trafalgar Elementary
Trafalgar Middle
Treeline Elementary
Tropic Isles Elementary
Varsity Lakes Middle
Veterans Park Acad for Arts
Villas Elementary
Vince Smith Center
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recruiter - member organizer name
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Select your membership category
Select your membership category
TALC
Dues Amount
$0.00
Total
* draft
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Authorize
Payroll Deduction.
I hereby agree to pay, and authorize my employer to deduct, the dues assessments described above and as are certified by the Association to the School Board for each year thereafter from my salary and direct and authorize my employer to pay such amounts to the Association in accordance with payroll deduction procedures in effect; provided, however, I may cancel my membership and this authorization by providing 30 days written notice to the School Board and Association notifying them of such revocation as provided by law.
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Date
Date
E.g., 2023-03-29
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