APPLICATION FORM

JOIN US IN PROTECTING FACULTY RIGHTS;
IMPROVING SALARIES AND BENEFITS

The American Federation of Teachers has 1.3 million members (growing by 34,000 in 2005) and represents 150,000 faculty in higher education. For over thirty 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 ISU Federation of Teachers and its state and national affiliates. Membership includes a $1,000,000 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.home.roadrunner.com/~nickgier/ift.htm

Please return this form to Greg Green, Economics Department.

Please check the appropriate line for your biweekly dues.

__ $10,000 to $19,999 annual salary= $5 per pay period.

__ $20,000 to $29, 999 annual salary= $6 per pay period.

__ $30,000 to $39,999 annual salary= $7 per pay period.

__ $40,000 to $49,999 annual salary= $8 per pay period.

__ $50,000 to $59,999 annual salary= $9 per pay period

__ $60,000 to $69,999 annual salary= $10 per pay period

AUTHORIZATION FOR PAYROLL DEDUCTION

I hereby authorize the ISU Payroll Office to deduct $___ each pay period for the ISU Federation of Teachers. This authorization will remain in effect until I make a written request to stop the payment.

Name (please print)___________________________________________________

Signature___________________________________________________________

ISU Employee Number or Social Security Number __________________________