LOUISIANA ASSOCIATION OF EDUCATORS
NATIONAL EDUCATION ASSOCIATION
P O Box 479, Baton Rouge, Louisiana 70821
Unified Membership Enrollment 2004-2005
 *indicates required field
Social Security Number:
Home Phone:
Work Phone: *
Personal Email:
Name: *
Address:
City: 
State and Zip:      
Date of Birth:
Ethnicity:  
Gender:
Monthly Deduction:
Position: ** indicates directly hires, evaluates, transfers, disciplines or dismisses.
Subject:
Political Party:
Reg. Voter:
Local Name / User ID:
Employer Name / User ID:
School / Work Location / User ID:
Unified Dues:
Member Type:
 NEA  
Active Professional FT AC-1-100 $137.50
Act. Profess. (emp. 26%-50%) AC-1-50 $71.00
Act. Profess. (emp. 25% or <) AC-1-25 $38.25
Substitute SB-0-0 $15.00
Active Ed. Support FT AC-2-100 $76.50
Act. Ed. Support (emp. 26% - 50%) AC-2-50 $41.00
Active Life FT AC-7-100 $0.00
Active Life (emp. 50% or <) AC-7-50 $0.00
Staff SF-0-0 $66.00
Reserve (former Profess.) RS-1-0 $66.00
Reserve
(former Ed Sup.)		 RS-2-0 $36.00
Retired Annual (up to 9/1/73) RT-8-6 $5.00
Retired Annual (on/aft. 9/1/73) RT-8-0 $15.00
Retired Lifetime RT-7-0 $100.00

Method of Payment



LAE  
Active AC-1-100 $196.00
Active (emp. 50% or <) AC-1-50 $101.00
Substitute SB-0-0 $26.00
Associate AS-0-0 $25.00
Ed. Support ES-0-100 $101.00
Ed. Support (emp. 50% or <) ES-0-50 $53.50
Active Life AC-7-0 $0.00
Staff SF-0-0 $101.00
Reserve (formerly Active) RS-1-0 $101.00
Reserve (formerly Ed Sup.) RS-2-0 $53.50
Retired RT-8-0 $21.00
Retired Lifetime RT-7-0 $100.00

Method of Payment



LOCAL  
Active AC-1-100
Active (emp. 50% or<) AC-1-50
Substitute SB-0-0
Associate AS-0-0
Ed. Support ES-0-100
Ed. Support (emp. 50% or <) ES-0-50
Active Life AC-7-0
Staff SF-0-0
Reserve (formerly Active) RS-1-0
Reserve (formerly Ed Sup.) RS-2-0
Retired RT-8-0
Retired Lifetime RT-7-0

Method of Payment

First year teacher?:   Yes       No
Student Member last year?:   Yes       No
Member last year? If yes, where?   Yes       No     

*Membership is open only to those who agree to subscribe to the goals and objectives of the Association and to abide by its Constitution and Bylaws.

SUBMISSION OF FORM ELECTRONICALLY DOES NOT AUTOMATICALLY ENSURE ENROLLMENT. SOMEONE WILL CONTACT YOU SOON ABOUT YOUR ENROLLMENT FORM FOR PROCESSING.
    

 

 

 

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