FY25 WEA Membership Application

Membership Application
Name*

First NameLast Name
Personal Email Address*

Confirmation Emailmypersonalemail@gmail.com
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Cell Phone Number*
Please enter a valid phone number.
Can we text this Number?*

YesNo
Home Phone Number (if applicable)
Please enter a valid phone number.
By providing my phone numbers and selecting "Yes", I understand that the WEA, MTA, NEA and/or their local affiliates may use automatic calling techniques and/or occasionally text message me on my mobile phone. The MTA, NEA and their local affiliates will never charge for text message alerts. Carrier message and data rates may apply.

Hire Date*

MonthDayYear
Home Building*
If you spend your time in multiple buildings, choose the building in which you spend MOST of your time.
Do you work in multiple buildings?*

NoYes (less common)
Position*
These positions are dictated by our contract recognition clauses. Please select the position that best describes your role.
Bargaining Unit*
Located in Position Parenthesis
Unit On Form
FTE*

Full-Time (0.81 to 1.0 FTE)Three-Quarter-Time (0.51 to .80 FTE)Half-Time or Less (0.00 to .50 FTE)
Your Annual Membership Dues
Dues are assessed every paycheck at 0.91% of your base salary (ex: For every $100 you earn, 91 cents go towards the WEA.) Dues are NOT assessed on any stipends, bonuses, and/or extra-earnings opportunities. Unit C dues are capped at $300 per year. Unit D and Unit E dues are capped at $450 per year.

Enrollment Agreement & Payroll Deduction Authorization
Are you a first-time member of the Massachusetts Teacher Association (MTA)?*

YesNo
Please enter the MTA Member ID from your MTA Card you have one.
YES – I want to join with my colleagues and become a member of my local association, the Massachusetts Teachers Association, and the National Education Association. I hereby request and voluntarily accept membership in these associations, which shall continue on a voluntary basis from year to year. I agree to abide by the bylaws and constitutions of the associations. To support the associations’ goals and to receive the advantages and benefits of membership, I agree to pay the full annual dues in each year of voluntary membership, owing at the start of each year and payable by payroll deduction, check, or other payment methods if available. By signing this membership enrollment form, I understand and agree that this Electronic Signature is the legally binding equivalent to my handwritten signature. I will not, at any time in the future, repudiate this electronic signature or claim that it is not legally binding.

I authorize my public employer, Wellesley Public Schools to deduct in each pay period a pro rata portion of the annual dues of the Wellesley Educators Association, the Massachusetts Teachers Association and the National Education Association. I understand that annual membership dues for the associations are subject to periodic change by the governing bodies of the associations, and I authorize the deduction of modified dues as may apply. I understand that this agreement is voluntary and is not a condition of employment and that I have the legal right to refuse to sign this agreement without suffering any reprisal. This authorization shall be irrevocable for the period of one year from the anniversary date of authorization (unless my employment ends during the payroll year Said authorization shall continue from year to year unless I revoke it by notifying the treasurer of the local association in writing and filing a copy of said notice with my employer.

By signing this payroll deduction authorization, I understand and agree that this Electronic Signature is the legally binding equivalent to my handwritten signature. I will not, at any time in the future, repudiate this electronic signature or claim that it is not legally binding.
Signature*

Clear
MTA Member Code
NEA Member Code
Have you already received a WEA T-Shirt?*

Yes! I received one at orientation or from my building rep.No: Small please!No: Medium please!No: Large please!No: X-Large please!No: 2XL please!No: 3XL please!
Date

MonthDayYear
Date
Should be Empty:

Membership Application

Enrollment Agreement & Payroll Deduction Authorization