UConn-AAUP Application

BECOME A MEMBER OF UCONN AAUP!

MEMBERSHIP AUTHORIZATION & DUES DEDUCTION AUTHORIZATION FORM

  1. MEMBERSHIP AUTHORIZATION: YES! I want to join with my colleagues and become a member of UConn-AAUP. I hereby request and voluntarily accept membership in UConn-AAUP and I agree to abide by its Constitution and Bylaws, I authorize UConn-AAUP to act as my exclusive representative in collective bargaining over wages, benefits, and other terms and conditions of my employment with my employer.
  2. DUES DEDUCTION AUTHORIZATION: I hereby request and voluntarily authorize my employer to deduct from my earnings and to pay to UConn-AAUP an amount equal to the regular bi-weekly dues applicable to members of UConn-AAUP. This authorization shall remain in effect unless I revoke it by sending written notice to UConn-AAUP within thirty (30) calendar days preceding the annual anniversary date of this agreement. This authorization shall be automatically renewed from year to year as long as I remain a member of the bargaining unit, unless I revoke it in writing during the 30-day window period.

First Name*

Last Name*

Home Address* (Required to mail Academe)

Address (line 2)

City* State* Zip*

Email

Institution

Department

U-Box

Tenured
 Yes No

AAUP Membership Categories* (please select one)
 Full Time Entrant: (new Tenure Track faculty only) Part Time: (Special Payroll Adjuncts)

By checking the terms and conditions box below, I positively affirm that I want to join with my colleagues and become a member of UConn-AAUP. I hereby request and voluntarily accept membership in UConn-AAUP and I agree to abide by its Constitution and Bylaws, I authorize UConn-AAUP to act as my exclusive representative in collective bargaining over wages, benefits, and other terms and conditions of my employment with my employer.

I also hereby request and voluntarily authorize my employer to deduct from my earnings and to pay to UConn-AAUP an amount equal to the regular bi-weekly dues applicable to members of UConn-AAUP. This authorization shall remain in effect unless I revoke it by sending written notice to UConn-AAUP within thirty (30) calendar days preceding the annual anniversary date of this agreement. This authorization shall be automatically renewed from year to year as long as I remain a member of the bargaining unit, unless I revoke it in writing during the 30-day window period.

 I accept the terms and conditions

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