|
|
| Yes, as a member of the educational team, I want to join the Federation and show my commitment to positive change in educational quality and working conditions. |
| NAME________________________________________________ |
Work Site__________________________________
email address_______________________________
|
| Residence Address______________________________________ |
City/Zip____________________________________ |
| Telephone (____)________________________________________ |
Employee ID Number_________________________
|
| Current job position: |
| ___Secretarial/Clerical |
___Education Assistant |
___ Special Ed Assistant |
___ Community Agent |
| ___Campus Monitor |
___Health Care Attendant |
___ Library Assistant |
___ Sign Interpreter |
| ___Other |
___Misc.(under 20 hours) |
___ Retired |
___ OT/PT |
| I authorize School District No. 1 to deduct Federation Dues from my payroll. |
|
Signature_______________________________________________
|
Date_____________________________
|
| Please mail this application to: Tom Smith, Portland Federation of Teachers and Classified Employees,(PFTCE), District Council of Unions, (DCU), AFT-Oregon,
AFT Local 111, AFL-CIO, 1110 SE Alder, Suite 205, Portland, Oregon 97214-2400 |
