CSI Chapter Membership Form

JOIN US IN PROTECTING FACULTY RIGHTS; IMPROVING SALARIES AND BENEFITS

The American Federation of Teachers has 1.6 million members and represents 160,000 faculty in higher education. For over 38 years the AFT has been the de facto faculty union for employee grievances on Idaho’s campuses. Our goal has always been to solve these problems without going to court, but when internal solutions have not been possible, our attorneys have been successful in 9 out of 11 major cases for a total of over $2 million in settlements and legal fees.

APPLICATION FORM

I hereby apply for membership in the CSI Federation of Teachers and its state and national affiliates. Membership includes a $1,000,000 professional and legal liability policy, access to legal and moral support, and national AFT publications.

Name_________________________________________e-mail____________________

Department______________________Home Address ___________________________

Phone____________________________(home)__________________________(office)

Visit our website at www.idaho-aft.org

 Please return this form to Randy Berriochoa, Math & Computer Science

Please check the appropriate line for your monthly at large dues.

__ $10,000 to $19,999 annual salary= $19 per month/$8.50 biweekly
__ $20,000 to $29, 999 annual salary=$20 per month/$9 biweekly
__ $30,000 to $39,999 annual salary= $21 per month/$9.50 biweekly
__ $40,000 to $49,999 annual salary= $22 per month/$10 biweekly
__ $50,000 to $59,999 annual salary= $23 per month/$10.50 biweekly
__$60,000 and upwards                    = $24 per month/$11 biweekly

National Dues: $21.13; Idaho AFL-CIO: $2.00; Liability & Legal Insurance: $.35; Idaho Federation of Teachers: $2.00; Lewiston Labor Council: $.30. All amounts per member per month.

AUTHORIZATION FOR PAYROLL DEDUCTION I hereby authorize the CSI Payroll Office to deduct this amount $______(checked above) from each pay period for the CSI Federation of Teachers.  This authorization will remain in effect until I make a written request to stop the payment.

Name (please print)___________________________________________________

Signature___________________________________________________________

CSI employee number __________________________