Dues and Accommodations

If you’re experiencing a financial hardship, or have a special circumstance that greatly reduced your annual earnings, please complete the form below to request a temporary reduction of dues.

Date

YYYY

Name

First Name

Last Name

Personal Email

Cell Phone

(###)

###

####

Bargaining Unit

Full-time Faculty

Part-time Faculty

Paraprofessionals

MPBS

Employment Status

Full-time

Part-time

LTE

Dual Unit

Reason for Request

Brief confidential summary of reason for temporary dues reduction.