Please fill in your name, email address, your local’s name, and the date you first become a member of this local.

The date does not have to be exact; it can be a close estimation of the day. For example, you know you became a member in October of 2024 but can’t remember the exact day. Go ahead and enter 10/01/2024.

It has been permissible for the district to deduct dues and remit them to the union. If I sign this form electronically by typing my name, I agree that this signature is the equivalent of a manual signature on this form.