4Cs CT State Community College Dues Deduction

To be a member, you need to sign a membership form. The amount you pay is 1.2% of salary while you are on contract. But membership gives you a greater voice in decisions that affect your job. For example, only members can vote in union elections as well as create priorities for contract negotiations.

Membership in the 4Cs is important because it gives you a voice in decisions that affect your job and other union affairs such as officer elections and contract ratification. It also enables the 4Cs to communicate with you through our publications and e-mail alerts about contract news and other relevant issues. By participating fully in the affairs of the union, you will become a supporter of improving the rights and benefits for all union members. Together we all become stronger. Member rights are set forth in the 4Cs Constitution available on our web site at www.the4cs.org/governance.

First Name*

Last Name*

Street Address

Street Address 2

Zip Code*

City

State/Province

Email*

Home Phone

Mobile Phone

By providing my mobile phone number, I understand the Service Employees International Union, its local unions, and affiliates may use automated calling technologies and/or text message me on my cellular phone on a periodic basis. SEIU 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.

Additional Information

What is your job classification?*

At which college do you work?*

Other College*

What academic or college department do you work for?*

Other*

Yes, I want to join with my fellow employees and become a member of the Congress of Connecticut Community Colleges, SEIU Local 1973 (“4Cs”). I hereby request and voluntarily accept membership in 4Cs and I agree to abide by its Constitution and Bylaws and by the Service Employees International Union Constitution and Bylaws. I authorize 4Cs to act as my exclusive representative in collective bargaining over wages, benefits, and other terms and conditions of employment with my employer.

I recognize the need for a strong union and believe everyone represented by our union should pay their fair share to support our union’s activities. I hereby request and voluntarily authorize my employer to deduct from my earnings and to pay over to 4Cs an amount equal to the regular monthly dues uniformly applicable to members of 4Cs. This authorization shall remain in effect and shall be irrevocable unless I revoke it by sending written notice via U.S. mail to both the employer and 4Cs during the period not less than thirty (30) days and not more than forty-five (45) days before the annual anniversary date of this agreement or the date of termination of the applicable contract between the employer and 4Cs, whichever occurs sooner. This authorization shall remain in effect and shall be irrevocable unless I revoke it by sending written notice via U.S. mail to the 4Cs. Contributions or gifts to 4Cs are not tax deductible as charitable contributions. However, they may be tax deductible as ordinary and necessary business expenses.

Signature*

Comments

This field is for validation purposes and should be left unchanged.