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Volusia United Educators Membership Form
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Join and stand with your colleagues for a strong voice in our work and to improve the quality of education in our schools.
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Social Security Number
First Name
*
Middle Name
Last Name
*
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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
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New Mexico
New York
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North Dakota
Ohio
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Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
US Virgin Island
Washington
West Virginia
Wisconsin
Wyoming
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
Employer
Worksite Location
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Refered by
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Job Role (instructional, office specialist, para-professional)
*
payroll-deduction
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Select your membership category
Select your membership category
Full time instructional employee membership
Part time instructional employee
Support Staff earning $15,001 thru $30,000 (21 checks) less for 22 and 24 checks
Support Staff earning $30,001 or more (21 checks) less for 22 and 24 checks
Dues Amount
$0.00
Total
* draft
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Authorize
Payroll deduction authorization
I hereby authorize the School Board of Volusia County, according to arrangements with the Volusia United Educators (VUE), VTO or VESA, to deduct from my salary and to transmit to the Volusia United Educators such dues and assessments as annually certified by said union. I hereby waive all rights and claims to said monies so deducted and transmitted in accordance with this authorization and relieve the School Board and all of its officers from any liability thereto. This authorization shall remain in full force and effect while I am employed by this district, or until revoked by me in writing upon thirty (30) days written notice to the School Board and the Union (State Statute 447.303) Dues paid to VUE or VTO or VESA may not be deducted for federal income tax purposes; however, under limited circumstances, dues may qualify as a business expense.
Print your name
Date
Date
E.g., 2023-03-29
Signature field is required
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