Membership Form Link to Printable Membership Form Please enable JavaScript in your browser to complete this form. LOCAL CODE: 39-050 New Your State United Teachers Affiliated with AFT - NEA - AFL - CIO LOCAL NAME: Westchester Community College Federation of Teachers(WCCFT) #2431NAME *FirstMiddleLastADDRESS *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeMOBILE PHONEHOME PHONEINITIAL HEREI am expressly consenting to receive autodialed and/or prerecorded calls and/or text message from or on behalf of the AFT, NEA, NYSUT, AFL-CIO, and/or the local union at the telephone numbers provided, including my wireless number, if applicable. The scope of this consent relates to any purpose for which any of the above entities may call. I understand that this consent is NOT a condition of my membership in NYSUTIn order to receive ALL emails from NYSUT and WCCFT please provide a NON-SUNYWCC email address:PERSONAL EMAIL *EmailConfirm EmailPLEASE CHECK THE BOX NEXT TO THE TITLE THAT BEST DESCRIBES YOUR POSITION *FULL TIME (V)ADJUNCT (W) DEPARTMENT *Academic Support CenterAccountingAnthropologyArt and DesignBiologyBusinessChemical DependencyChemistryCivil TechnologyCommunications & Media ArtsComputer Information SystemsContinuing Education - English Language InstituteContinuing Education - OtherComputer ScienceCounselingCriminal JusticeCulinary ArtsDanceDigital FilmmakingE.M.T. - ParamedicEarly ChildhoodEconomicsEducationElectrical TechnologyEnglishFashion MerchandisingFood Service AdministrationGeographyHealth & Human PerformanceHealth Information TechnologyHealth StudiesHistoryHuman ServicesHumanitiesLibraryManagementMarketingMathematicsMechanical TechnologyModern LanguagesMusicNursingOffice TechnologiesParalegalPerforming ArtsPhilosophyPhysical EducationPhysical SciencesPolitical SciencePsychologyRadiologic TechnologyReading, ESLRespiratory CareSociologyVeterinary TechnologySelect your primary department/area.By my electronic signature, I request and accept membership in the local organization named above, the New York State United Teachers (“NYSUT”) and its national affiliates, the National Education Association (“NEA”), American Federation of Teachers (“AFT”), and the American Federation of Labor-Congress of Industrial Organizations (“AFL-CIO”), where applicable. I accept the rights, responsibilities, and benefits of union membership. By my electronic signature, I also request and authorize my employer to deduct an amount equal to the regular monthly dues uniformly applicable to members of the local organization named above. I understand that this authorization and assignment is not a condition of my employment and shall remain in effect, regardless of whether I am or remain a member of the union, for a period of one year from the date of this authorization and shall automatically renew from year to year unless I revoke this authorization by sending a written, signed notice of revocation via U.S. mail to the union between the window period of Aug. 1-31 or another window period specified in a collective bargaining agreement. I understand that union dues, contributions or gifts to the above named local are not tax deductible as charitable contributions. However, they may be tax deductible as ordinary and necessary business expenses or on other bases expressly provided by state or federal law, such as New York State Tax Law section 615(d)(5).TODAY'S DATE *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920ELECTRONIC SIGNATURE *I agree, and it is my intent, to electronically sign this document by typing my name and by electronically submitting this document to Westchester Community College Federation of Teachers. I understand that my signing and submitting this document in this fashion is the legal equivalent of having placed my handwritten signature on the submitted document and this affirmation. I understand and agree that by electronically signing and submitting this document in this fashion I am affirming to the truth of the information contained therein.NEW YORK STATE UNITED TEACHERS, 800 TROY-SCHENECTADY ROAD, LATHAM, NEW YORK 12110-2455 Membership in NYSUT or any successor organization begins, and eligibility for NYSUT benefits is effective, as of the date of receipt of this form. Membership is continuous and carries over automatically from year to year. Re-enrollment is not necessary unless the member changes employers; except that membership shall be deemed continuous where there is (a) a merger or consolidation of employing entities or governmental units; (b) an accretion of any existing local or bargaining unit; and/or (c) a successor employer. NYSUT reserves the right to recognize continuous membership in any other instance or circumstance. Membership dues include subscriptions to publications from NYSUT, the AFT, and the NEA. Westchester Community College Federation of Teachers Westchester Community College, 75 Grasslands Rd, Tech Building Room 32, Valhalla, New York 10595 Please contact Chad Thompson at chadtwccft@gmail.com if you need help with this form. WebsiteSubmit Link to Printable Membership Form
