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AMERICAN ASSOCIATION OF UNIVERSITY PROFESSORS
Southwest Tennessee Community College
PAYROLL DEDUCTION AUTHORIZATION



I, the undersigned, authorize the regular deduction from my salary of AAUP dues in the amount specified by the current National AAUP dues schedule. This authorization shall be effective as of _________________, 200_, and continue in force until revoked in writing by me. Said deductions shall occur on a monthly basis and shall be submitted to the National AAUP by the payroll office.

NAME (
PLEASE PRINT):______________________________________________

EMPLOYEE SOCIAL SECURITY#:_______________________________________

PREFERRED MAILING ADDRESS: _____CAMPUS _____HOME

__________________________________________________________________

__________________________________________________________________

PHONE (W):_______________________ (H):_____________________________

E-MAIL:____________________________________________________________

SUBJECT
(S) TAUGHT:________________________________________________

___________________________________________________________________

TENURE STATUS: ______YES (Tenured) ______NO (Non-tenured)

CURRENT AAUP MEMBERSHIP CATEGORY
Note: Some categories have time limits. If a member's category
changes, the member is responsible to update his/her
category and dues deduction.

_____Full Time

_____Joint: Spouse of member in Full Time category

_____Entrant: Non-tenured & new to the AAUP for first 4 years of membership

_____Associate: For those with primarily administrative responsibilities

_____Part Time: Faculty receiving no more than 50% of the salary of a Full Time faculty member

My annual dues based upon my current AAUP membership category are:_________. Therefore, my monthly deduction is:___________


SIGNED:___________________________________DATED:__________________



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