ACTIVE EA/SCSP MEMBERSHIP FORM 21

Saint Paul Federation of Educators, Local 28
23 Empire Drive, St. Paul, MN 55103
Phone: 651-222-7303 – Fax: 651-222-8948
An affiliate of Education Minnesota, the American Federation of Teachers, the National Education Association and AFL-CIO

Recognizing the Saint Paul Federation of Educators, American Federation of Teachers, the National Education Association, Education Minnesota, and the AFL-CIO as constructive forces in providing better educational facilities for children and in protecting the rights to which educators are entitled to in a democratic society. I hereby apply for membership in Local #28, Saint Paul Federation of Educators, an affiliate of EM, AFT, NEA and AFL-CIO.

A PDF fillable or printable version of this form can be found below.

Step 1 of 2

Name*
First Middle Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Preferred Name
Former Name
Phone*
Personal Email*
Work Email*
Password
Set a password for your online SPFE28 account.
Enter Password Confirm Password

Strength indicator
Date of Birth*
MM slash DD slash YYYY
Ethnicity
Help us connect you to a racial affinity group.
Preferred Pronouns
Help us call you by your preferred pronouns.
- She/Her/Hers
- He/Him/His
- They/Them/Theirs
Last 4 digits of Social Security Number
This helps us identity your Employee Number if you have the same name as another member.
Feel free to leave blank if you don't have one yet.
School Building or Program*
Position
SPPS Employee Number
Employment Start Date*
MM slash DD slash YYYY
FTE
Full Time = 1.0
I hereby apply for membership in: Saint Paul Federation of Educators; St. Paul Regional Labor Federation (SPRLF); Education Minnesota; and the national AFT and NEA. I understand my membership is continuous as long as I remain actively employed. I understand that this agreement is voluntary and not a condition of employment and that I have the legal right to refuse to sign this agreement without suffering any reprisal. I agree to submit my dues and hereby request and voluntarily authorize my employer to deduct from my wages .0125 of the current annual total gross salary for monthly dues. This amount shall be paid to the Treasurer of Saint Paul Federation of Educators, Local 28 and shall be retained for payment of my dues of the Saint Paul Federation of Educators, Local 28. This authorization shall remain in effect and shall be automatically renewed from year to year, irrespective of my membership in the union, unless I revoke it by submitting written notice to both my employer and the local union during the thirty-day period that begins on September 1 and ends on September 30. Such revocation will take effect on October 1 in the year in which I submit the revocation. By providing my phone number, I understand and agree that SPFE, Education Minnesota and its affiliates may use automated calling technologies and/or text message me on my cellular phone approximately 4-5 times per month. Education Minnesota and its affiliates will never charge for text message alerts. Carrier message and data rates may apply to such alerts. Text STOP to 877877 to stop receiving messages. The invalidity or unenforceability of any particular provision hereof shall not affect the other provisions, and this Agreement shall be construed in all respects as if such invalid or unenforceable provision were omitted. By submitting this form, it shows that I agree with the terms above.
Name*
Typing your full name and date, constitutes your legal signature, verifying that all information entered on this form is true and accurate to the best of your knowledge.
First Last
Date Signed*
MM slash DD slash YYYY

I authorize my employer to deduct from my wages the following sum per month as a voluntary contribution to the SPFE AFT/COPE Fund:
AFT/COPE collects voluntary contributions from members and uses those contributions for political purposes, including, but not limited to, making contributions to and expenditures on behalf of friends of public education who are candidates for federal office. Only U.S. citizens or lawful permanent residents may contribute to AFT/COPE. Contributions to AFT/COPE are voluntary; making a contribution is neither a condition of employment nor membership in the Association, and members have the right to refuse to contribute without suffering any reprisal. A member may contribute more or less than the suggested amount, or may contribute nothing at all, without it affecting his or her membership status, rights or benefits in AFT or any of its affiliates. Contributions or gifts to AFT/COPE are not deductible as charitable contributions for federal income tax purposes. Federal law requires us to use our best efforts to collect and report the name, mailing address, occupation, and name of employer for each individual whose contribution is aggregate in excess of $200 in a calendar year. This voluntary authorization may be revoked at any time by notifying the Saint Paul Federation of Educators in writing of the desire to do so. Federal law prohibits AFT/COPE from receiving donations from persons other than members of AFT and its affiliates, and their immediate families. All donations from persons other than members of AFT and its affiliates, and their immediate families, will be returned forthwith.
Amount
- $5
- $10
- $15
- $20
- Other
Custom Amount*
Hidden
Total Amount
Name*
Typing your full name and date, constitutes your legal signature, verifying that all information entered on this form is true and accurate to the best of your knowledge.
First Last
Date Signed*
MM slash DD slash YYYY
CAPTCHA
Name
This field is for validation purposes and should be left unchanged.

DUES: Find union dues information below. Dues payments and contributions are not deductible as charitable contributions for federal income tax purposes. Ask your tax professional whether/how your dues payments might be otherwise reportable.

POLITICAL ACTION COMMITTEE (PAC): Your dues include $25 per year for the Education Minnesota PAC. The PAC uses these contributions to fund political action efforts to strengthen the collective voice of educators in public policy-making.

FOUNDATION FOR EXCELLENCE IN TEACHING & LEARNING: Your dues include $5 per year towards the Education Minnesota Foundation. The foundation uses these contributions to fund member grants as well as workshops that support and promote access to learning and excellence in teaching.

ACTIVE EA/SCSP MEMBERSHIP FORM 21

Step 1 of 2

I authorize my employer to deduct from my wages the following sum per month as a voluntary contribution to the SPFE AFT/COPE Fund:

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