Section 1 of 4
Please read the following Notice of Rights before proceeding:
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Choose your country, then enter your number using digits only (no spaces, parentheses, or dashes). U.S. and Canadian (+1) numbers are 10 digits.
Please enter a valid mobile number using digits only. U.S. and Canadian (+1) numbers must be exactly 10 digits (for example, 4015551234).
Telephone Consumer Protection Act Statement: By providing my cell phone number, I understand that the Union may use automated calling technologies and/or text message me on my cell phone on a periodic basis, and that I can unsubscribe from these messages. The Union will never charge for text message alerts; carrier message and data rates may apply to such texts.
Please enter your @brown.edu email address.
Your Brown University email must end with @brown.edu.
Please type your @brown.edu email address again. LOCC uses it to identify your record and sends your confirmation email there, so it must match exactly.
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Please enter a NON @brown.edu email.
Please enter a valid personal email address that does not end with @brown.edu.
I hereby authorize the Labor Organization of Community Coordinators (LOCC), Rhode Island Federation of Teachers and Health Professionals (RIFTHP), American Federation of Teachers (AFT), AFL-CIO, to act as my exclusive bargaining representative for all purposes of collective bargaining with Brown University.
I hereby apply for membership in the Labor Organization of Community Coordinators (LOCC), Rhode Island Federation of Teachers and Health Professionals (RIFTHP), American Federation of Teachers (AFT), AFL-CIO (collectively “the Union”).
Pursuant to Article III, § F(2) of the CBA, a Community Coordinator shall be free to revoke their Membership Dues authorization or Fair Share Fees authorization at any time by notifying the employer or employer-designated office in writing.
Please check the box to agree to the Membership Authorization.
I authorize my employer, Brown University, to deduct from my salary or wages an amount certified by the union as my regular current dues and to remit such amount monthly to the Union. I understand that no dues will be deducted until Union members ratify a first contract for Community Coordinators. This voluntary authorization and assignment shall be irrevocable for a period of one year from the date of authorization, and shall automatically renew from year to year unless I revoke this authorization by sending written notice by the United States Postal Service to my Union. Dues paid to LOCC may not be deductible for Federal Income Tax purposes, however, under limited circumstances, dues may qualify as a business expense.
Please check the box to agree to the Dues Deduction Authorization.
Draw your signature above using your mouse, finger, or stylus. This signature authorizes membership and dues deduction.
Please sign in the box above to authorize membership and dues deduction.
Optional COPE donations go towards a political action fund run by LOCC members. This fund is separate from LOCC's operating budget, and can be used to support electoral campaigns. COPE donations are not required to be a member of LOCC. Only US citizens can donate to COPE.
I hereby authorize my employer to deduct monthly the amount indicated below and to remit the amount to the LOCC COPE Fund.
This COPE authorization is voluntarily made based on my specific understanding that: 1) I am a U.S. citizen and/or legal permanent resident of the United States, 2) that this money will be used to make political contributions by LOCC, including but not limited to addressing political issues of public importance and contributing to and spending money in connection with federal, state and local elections, and 3) that the signing of this authorization card is not a condition of union membership or employment with any employer and that I have a right to refuse to sign this authorization and refuse to contribute to LOCC COPE without reprisal. I agree this authorization remains in effect until terminated in writing by me. Decisions on use of COPE contributions will be made by LOCC members according to LOCC by-laws.
Please enter a valid amount greater than $0 (for example, 10 or 7.50).
Draw your signature above for the COPE deduction. Required only if you choose an amount greater than $0.00.
Please sign in the box above to authorize your COPE deduction.
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This letter confirms your membership in the Labor Organization of Community Coordinators. LOCC is its members, and our power in the workplace comes from our ability to act collectively. Congratulations on joining your union, and see you at the next meeting!