REA: Union Authorization Card

Union Authorization Card

I support working together with my colleagues for a voice in decisions that affect our professions and our future. I authorize Virginia Education Association/Richmond Education Association to represent me in collective bargaining with my employer concerning wages, hours, and other terms and conditions of employment. I understand that this authorization card can be used by Virginia Education Association/Richmond Education Association to obtain recognition from my employer.
Name Name * First Last
Personal Cell Personal Cell * - ### - ### ####
Personal Email *
Home Address Home Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Employer *
Employee ID Number *
Worksite *
Job Title *
Work Hours (Ex: 8am-4pm) *
MY PLEDGE: *

MY PLEDGE: I support working together with my colleagues for a voice in decisions that affect our professions and our future. I authorize Virginia Education Association/Richmond Education Association to represent me in collective bargaining with my employer concerning wages, hours, and other terms and conditions of employment. I understand that this authorization card can be used by Virginia Education Association/Richmond Education Association to obtain recognition from my employer.
Electronic Signature *

Draw or Type

I UNDERSTAND THIS IS A LEGAL REPRESENTATION OF MY SIGNATURE. BY CLICKING SUBMIT, I ACCEPT THAT MY PRINTED NAME, THE DATE AND TIME WILL BE USED AS MY DIGITAL SIGNATURE FOR THE PURPOSES OF THIS FORM. Clear

Full Name

I UNDERSTAND THIS IS A LEGAL REPRESENTATION OF MY SIGNATURE. BY CLICKING SUBMIT, I ACCEPT THAT MY PRINTED NAME, THE DATE AND TIME WILL BE USED AS MY DIGITAL SIGNATURE FOR THE PURPOSES OF THIS FORM.
Issue Survey

Please rank each of the following collective bargaining issues in order of importance to you with a choice of "1" signifying your top concern and a choice of "4" meaning not a concern:


	1	2	3	4
Observations/Evaluations	Observations/Evaluations1	Observations/Evaluations2	Observations/Evaluations3	Observations/Evaluations4
Pay Scale	Pay Scale1	Pay Scale2	Pay Scale3	Pay Scale4
Student Grading	Student Grading1	Student Grading2	Student Grading3	Student Grading4
Virtual Observations	Virtual Observations1	Virtual Observations2	Virtual Observations3	Virtual Observations4
Performing duties not listed in job description	Performing duties not listed in job description1	Performing duties not listed in job description2	Performing duties not listed in job description3	Performing duties not listed in job description4
Harassments from supervisors	Harassments from supervisors1	Harassments from supervisors2	Harassments from supervisors3	Harassments from supervisors4
Denial of representation in non-grievance meetings	Denial of representation in non-grievance meetings1	Denial of representation in non-grievance meetings2	Denial of representation in non-grievance meetings3	Denial of representation in non-grievance meetings4
Lack of respect from supervisors	Lack of respect from supervisors1	Lack of respect from supervisors2	Lack of respect from supervisors3	Lack of respect from supervisors4
Retaliation from supervisors	Retaliation from supervisors1	Retaliation from supervisors2	Retaliation from supervisors3	Retaliation from supervisors4

Please list any concerns you believe should be included as "collective bargaining issues" that were not listed in the previous question.
Maximum of 250 characters allowed. Currently Entered: 0 characters.

REA: Union Authorization Card

Union Authorization Card

Issue Survey