ATPE News is the official publication of the Association of Texas Professional Educators, the largest educator association in Texas. The magazine addresses the most important issues affecting public education in the state. Learn more at ATPE.org.
Issue link: https://atpe.epubxp.com/i/435977
1 Provide your contact information. Payroll Deduction Authorization Payroll authorizations for 2014-15 will not be accepted after Jan. 31, 2015 . I, ______________________________________________ , authorize the _____________________ ISD to deduct the total amount of $ _______________ over ______ payments in order to pay for ATPE state dues, local dues, and political action committee and foundation donations. I further authorize the Association to notify the ISD of changes in the annual dues amounts and the ISD to deduct the new amounts. If my employment with the district ends, I authorize any unpaid balance to be deducted from my fnal check. This authorization for the deductions referenced above will be efective until I give notice to the ISD that I want to revoke it. ____________________________________________________ __________________________________________________ _______________ Applicant's signature Applicant's Social Security number or employee ID number Date of signature 2014-15 AP8 2014-15 ATPE Membership Application 3 Ways You Can Join The Association of Texas Professional Educators: 1 Mail this completed application to the ATPE state ofce. 2 Give this completed application to a designated ATPE representative. 3 Join at atpe.org (and pay by credit card). Texas AFT TCTA TSTA UEA Other ________ Initial Here I wish to cancel deduction of membership dues for: Last 4 digits of your Soc. Sec. #: XXX-XX-__ __ __ __ Female Male School District Employee ID# _______________________________________ Yes, I have been an ATPE member in the past. Member ID# _______________ (Optional—If you don't remember it, no problem.) Name _________________________ _______________________ _________ Last First Middle initial Job title _________________________________________________________ ISD ___________________________ Campus __________________________ Home address ____________________________________________________ City/State ____________________________________ ZIP _______________ Home ( ____ ) _____________________ Cell ( ____ ) _____________________ Campus email ___________________________________________________ Home email _____________________________________________________ One email address is required for application processing. ** Yes, send me information about volunteering for ATPE! 305 E. Huntland Dr. • Ste. 300 Austin, TX 78752-3792 (512) 467-0071 • (800) 777-2873 atpe.org • atpe@atpe.org Required ** (MM) 2 Select your membership category. Refer to the chart on the back of this application to fnd your appropriate category. 3 Invest in public education. 4 Select a payment method. $145.00 $80.00 $70.00 $ ______ $ ______ $ ______ FREE Professional First-time Professional I have never been a Professional member. Associate Paraprofessional and classifed positions Teacher Trainee Student teacher in Texas Insured * categories * See back for details. $ ______ $ ______ $ ______ Complete the authorization below. Detach and submit to your ISD's payroll ofce. Arrangements for payroll deduction are the responsibility of the applicant. TOTAL $ ______ Check enclosed Payroll deduction Local unit dues Support ATPE in your school district. ATPE Political Action Committee Support Texas candidates and ofceholders who prioritize our profession and public education. Suggested donation: $12. ATPE Foundation Support literacy, technology, and educator recruitment and retention programs that beneft Texas educators and students. Visit atpe.org to join as a retired, public or college student member. ** When you become a member of ATPE, you are granting permission for ATPE to contact you via the information provided on this application, including email and text, which are required to efectively administer your account. You will also receive important information about your membership and benefts.