Become a Member!

Date of Hire

The first day of your employment.

Membership Date

The date you wish to have your membership officially begin.

First Name

Last Name

Home Address

Apartment, Suite, etc.

City

State

ZIP/Postal Code

Personal Email

A copy of your registration will be emailed to you.

Primary Phone

Secondary Phone

Work Phone

Employee ID

Be careful to enter this correctly. This information can be found in your orientation packet, or on SAP.

Department

Job Title

Work Location

The general area you work. (City Hall, AWWU, Public Works, etc.)

Authorization

I hereby apply for or commit to maintain my membership in AMEA/AFSCME Local 16 and I agree to abide by its Constitution and Bylaws. 

By this application, I authorize AMEA/AFSCME Local 16 and its successor or assign, (hereafter referred to as AMEA or the “Union”) to act as my exclusive bargaining representative for purposes of collective bargaining with respect to wages, hours, and other terms and conditions of employment with my Employer. Effective immediately, I hereby voluntarily authorize and direct my Employer to deduct from my pay each pay period, regardless of whether I am or remain a member of AMEA, the amount of dues and initiation fees certified by AMEA as they may be adjusted periodically by AMEA. I further authorize and direct my Employer to remit such amount monthly to the AMEA. My decision to pay my dues by way of payroll deduction, as opposed to other means of payment, is voluntary and not a condition of my employment. This voluntary authorization and assignment shall be irrevocable for a period of one year from the date of execution or until the termination date of the collective bargaining agreement (if there is one) between the Employer and the Union, whichever occurs sooner, and for year to year thereafter unless I give the Employer and the Union written notice of revocation not less than ten (10 days) and not more than twenty (20 days) before the end of any yearly period, regardless of whether I am or remain a member of the union, unless I am no longer in active pay status in the AMEA bargaining unit. This form supersedes any prior dues authorization form I signed. Payments to the Union are not deductible as charitable donations for federal income tax purposes. However, they may be tax deductible as ordinary and necessary business expenses.

Signature

Draw in the box using your finger, mouse, trackpad or stylus to add your e-Signature.

Can You Help?

Let us know how you would like to get involved in our union and help build a better future for us all. Your participation helps our union fight injustice, bargain for better workplace conditions, and stay strong together.

Getting co-workers more involved in workplace actions, events, and issues.

Helping represent other members to enforce the contract.

Attending worksite meetings and trainings.