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Personal Information
Your personal information is safe and confidential. We safeguard it and share only with VEA member benefits partners.
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Maximum of 4 characters allowed. Currently Entered: 0 characters.
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Primary Phone Type *
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Secondary Phone Type
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Other Phone Type
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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.
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Gender *
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Check all that apply:
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Ethnicity
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.
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Dues Classification
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.
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Please select your status (Culpeper): *
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Please select your status (Fauquier): *
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Please select your status (Fredericksburg): *
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Please select your status (Rappahannock): *
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Please select your status (Spotsylvania): *
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Please select your status (Stafford): *
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Payroll Deduction
I authorize payroll deduction of Association dues by my employer unless I revoke this authorization in writing to the Local Association and School Board. If Employment or Membership is terminated, I understand amount still owing under this authorization shall be deducted from my final pay.
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Early Enrollment Pledge
As a participant in the Early Enrollment Membership Incentive Plan, I am eligible to receive—prior to September 1, 2021, but in no event before April 1, 2021—benefits under the NEA Educators Employment Liability (EEL) Program, as well as access to select NEA Member Benefits Programs.
As a condition of eligibility for these benefits, I agree to pay the appropriate unified Active membership dues for the 2021-22 membership year in accordance with established payment procedures. Should I fail to do so, my eligibility to receive benefits under the NEA EEL Program shall immediately terminate. In addition, I shall become liable for the cost of any benefits that were provided to me under the NEA EEL Program prior to September 1, 2021.
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I understand this is a legal representation of my signature.
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