AFT Local 3215

Membership Forms

• U of I – 9 Month Regular Pay
  U of I Membership Form 9 Months

  Complete the form below to authorize payroll deductions for your local union dues.

  "*" indicates required fields

  APPLICATION FORM – 9-MONTH “REGULAR PAY” FACULTY (Paid during 9 months of academic year, no pay in summer) I hereby apply for membership in the University of Idaho Federation of Teachers, AFT Local 3215, and its state and national affiliates. Membership includes access to legal and moral support, AFT publications, and one million dollars in legal insurance from national AFT.

  Name*

  First Middle Last

  Email*

  Department or Unit*

  Work Phone

  Personal Phone*

  Home Address*

  Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands

  The UI Payroll Office will deduct regular-pay faculty members’ dues in 20 installments per year, from September through May. Please check the appropriate line for your per-pay dues deduction level.

  Income*

  Choose annual income range$9,999 and under annual salary = $1.50 per pay period$10,000 to $19,999 annual salary = $2.75 per pay period$20,000 to $29, 999 annual salary = $5.50 per pay period$30,000 to $39,999 annual salary = $8.25 per pay period$40,000 to $49,999 annual salary = $11.00 per pay period$50,000 to $59,999 annual salary = $13.75 per pay period$60,000 to $69,999 annual salary = $16.50 per pay period$70,000 to $79,999 annual salary = $19.25 per pay period$80,000 to $89,999 annual salary = $22.00 per pay period$90,000 to $99,999 annual salary = $24.75 per pay period$100,000 to $109,999 annual salary = $27.50 per pay period$110,000 and above annual salary = $30.25 per pay periodSustaining Membership ($37.50 per pay period)

  Select the suggested bi-weekly dues based on income

  [Informational note: Local 3215 uses its members’ dues to pay a total of $285.96 per year per member: AFT National per capita payment = $270.36; Idaho Federation of Teachers = $12.00; Lewiston-Clarkston Common Labor Council = $3.60.]

  Payroll Deduction Authorization*

  I hereby authorize the UI Payroll Office to deduct this amount from each of 20 pay periods per year for the UI Federation of Teachers. I further authorize the UI Payroll Office to automatically align my deduction level to correspond to my current salary. This authorization will remain in effect until I make a written request to stop the payment.

  Signature*

  Type your full name to sign this form

  Signed Date*

  MonthMonth123456789101112

  DayDay12345678910111213141516171819202122232425262728293031

  YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920

  UI Employee Number

  This authorization will remain in effect until a written request to stop automatic payroll deduction has been sent to payroll.

  This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

  Email

  This field is for validation purposes and should be left unchanged.

  Submit Payroll Deduction Authorization
• U of I – 12 Month Spread Pay
  U of I Membership Form 12 Months

  Complete the form below to authorize payroll deductions for your local union dues.

  "*" indicates required fields

  APPLICATION FORM – 12-MONTH “SPREAD PAY” FACULTY (Paid over 12 months of fiscal year for 9-month AY contract) I hereby apply for membership in the University of Idaho Federation of Teachers, AFT Local 3215, and its state and national affiliates. Membership includes access to legal and moral support, AFT publications, and one million dollars in legal insurance from national AFT.

  Name*

  First Middle Last

  Email*

  Department or Unit*

  Work Phone

  Personal Phone*

  Home Address*

  Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands

  The UI Payroll Office will deduct spread-pay faculty members’ dues in 26 installments per year, from July through June. Please check the appropriate line for your per-pay dues deduction level.

  Income*

  Choose annual income range$9,999 and under annual salary = $1.15 per pay period$10,000 to $19,999 annual salary = $2.12 per pay period$20,000 to $29, 999 annual salary = $4.23 per pay period$30,000 to $39,999 annual salary = $6.35 per pay period$40,000 to $49,999 annual salary = $8.46 per pay period$50,000 to $59,999 annual salary = $10.58 per pay per$60,000 to $69,999 annual salary = $12.69 per pay period$70,000 to $79,999 annual salary = $14.80 per pay period$80,000 to $89,999 annual salary = $16.92 per pay period$90,000 to $99,999 annual salary = $19.04 per pay period$100,000 to $109,999 annual salary = $21.15 per pay period$110,000 and above annual salary = $23.27 per pay periodSustaining Membership ($28.85 per pay period)

  Select the suggested bi-weekly dues based on income

  [Informational note: Local 3215 uses its members’ dues to pay a total of $285.96 per year per member: AFT National per capita payment = $270.36; Idaho Federation of Teachers = $12.00; Lewiston-Clarkston Common Labor Council = $3.60.]

  Payroll Deduction Authorization*

  I hereby authorize the UI Payroll Office to deduct this amount from each of 26 pay periods per year for the UI Federation of Teachers. I further authorize the UI Payroll Office to automatically align my deduction level to correspond to my current salary. This authorization will remain in effect until I make a written request to stop the payment.

  Signature*

  Type your full name to sign this form

  Signed Date*

  MonthMonth123456789101112

  DayDay12345678910111213141516171819202122232425262728293031

  YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920

  UI Employee Number

  This authorization will remain in effect until a written request to stop automatic payroll deduction has been sent to payroll.

  This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

  Name

  This field is for validation purposes and should be left unchanged.

  Submit Payroll Deduction Authorization