UT-AAUP Membership Application

Membership Form

Please print this screen after you have typed in the appropriate response to the items listed below. Mail your signed form to the UT-AAUP office, UH 5150 A-C. Note: Your completed membership application will not be transmitted via the net in order to retain confidentiality. This application is intended for University of Toledo faculty, only.

Last Name: First Name:
Rank:

College: Department: Mail Stop:
Campus Phone: Campus Fax:
Dept. Phone: Dept. Fax:
Social Security #: E-Mail Address:

Home address:
City: State:
Zip Code:
Home Phone: Home Fax:

Payroll Deduction Authorization

I, undersigned, hereby join the University of Toledo Chapter of the American Association of University Professors (UT-AAUP) with dues deduction in amounts as determined by the UT-AAUP. This authorization will be effective immediately, and will be made from gross earnings in all pay periods throughout the calendar year by the UT-Payroll Office. I understand that my joining the UT-AAUP will not result in increased deduction unless voted upon by the UT-AAUP membership in accordance with the UT-AAUP Constitution.

Signature: _______________________________________________ Date:

Please indicate your current status from the following list:

Tenured, Full Time
Tenure track, FT (5-7 years)
Tenure track, FT (1-4 years)
Joint: Spouse of FT
Lecturer
Other**:

*Non bargaining unit member. **Includes superannuate, retiree, adjunct, part time, administrator, and others.

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