Richmond Education Association Membership Application

Name Name First Middle Last
Position

Position Teacher Support / Classified Administrator
Work Location
Subject
Personal Information

Your personal information is safe and confidential. We safeguard it and share only with VEA member benefits partners.
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Birth Date Birth Date / MM / DD YYYY
Last 4 of SSN
Maximum of 4 characters allowed. Currently Entered: 0 characters.
Primary Phone Primary Phone - ### - ### ####
Primary Phone Type

Primary Phone Type Home Cell
Secondary Phone Secondary Phone - ### - ### ####
Secondary Phone Type

Secondary Phone Type Home Cell Work
Home/Non-work Email

Confirm Email Address
Work Email

Confirm Email Address
Telephone Consumer Protection Act. By providing my phone number, I understand that the National Education Association and its affiliates, including the Virginia Education Association, the local Association, NEA Member Benefits, and NEA360, may use automated calling techniques and/or text message me on my cellular phone on a periodic basis. The National Education Association, the Virginia Education Association, and the local Association will never charge for text message alerts. Carrier message and data rates may apply to such alerts. Text STOP to 787753 to stop receiving messages. Text HELP to 787753 for more information.
Gender

Gender Male Female Non-Binary Transgender Male Transgender Female Gender Expansive/Non-Conforming
Ethnicity (optional))
Ethnic Minority information is optional and not providing it will in no way effect your membership status, rights, or benefits in NEA, VEA, or any of their affiliates. If included, this information will be kept confidential and will be used to determine the proportion of ethnic minority delegates in state and national delegations.

Ethnicity (optional))
Ethnic Minority information is optional and not providing it will in no way effect your membership status, rights, or benefits in NEA, VEA, or any of their affiliates. If included, this information will be kept confidential and will be used to determine the proportion of ethnic minority delegates in state and national delegations.
American Indian/Alaskan Native Black Native Hawaiian/Pacific Islander Hispanic Asian Caucasian (not of Hispanic origin) Multi-Ethnic Other Other
Dues Classification

Dues deductions begin on September 15 and end on August 31. Dues payments are not deductible as a charitable contribution, however they may be deductible as a miscellaneous itemized expense. Consult your tax advisor for details.
Please select your status:

Please select your status: Full Time professional $28.92 per pay period Part Time professional $17.93 per pay period ESP Full Time $15.31 per pay period ESP Part Time (Food Svcs-Less than 5hrs/24 Pay) $8.25 per pay period ESP Part Time (Food Svcs-Less than 5hrs/20 Pay) $9.90 per pay period
New Teacher?

New Teacher? Check here if you are first year educator Check here if you have 5 years experience or less I was an SVEA Aspiring Educator Member last year I was a VEA/NEA Member last year I was an NEA Member last year in a different state
What date did you start teaching?
Date of hire into current school system?
Payroll Deduction

Annual membership dues to the NEA include $5.65 for NEA Today, $3.40 for NEA-Retired and/or $6.58 for the Higher Education publications. The NEA publication(s) received by members are based on membership category. Annual membership dues to VEA include a subscription to the Virginia Journal of Education.

Membership is open only to those who agree to subscribe to the principles, goals and objectives of the Association and to abide by its charter, constitution and bylaws.
I authorize payroll deduction of Association dues by my employer unless I revoke this authorization in writing to the Local Association and School Board.
Sign by entering your full name in the box below.
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date Date / MM / DD YYYY
Who encouraged you to join?

Richmond Education Association Membership Application

Richmond Education Association Membership Application

Personal Information

Dues Classification

Payroll Deduction